| Nicole Tracy Hom, OD | |
|
3870 S Maryland Pkwy Ste B, Las Vegas, NV 89119-7573 | |
| (725) 867-6595 | |
| Not Available |
| Full Name | Nicole Tracy Hom |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 3870 S Maryland Pkwy Ste B, Las Vegas, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235485152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 14417 (California) | Primary |
| 152W00000X | Optometrist | 743 (Nevada) | Secondary |
| Provider Name | Kevin Tan Md And Productions Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1659752319 PECOS PAC ID: 2961712666 Enrollment ID: O20151110000307 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Tracy Hom, OD 5516 Hackney Ct, El Sobrante, CA 94803-3821 Ph: (510) 396-7630 | Nicole Tracy Hom, OD 3870 S Maryland Pkwy Ste B, Las Vegas, NV 89119-7573 Ph: (725) 867-6595 |
Tamara Gutierrez, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 3870 E Flamingo Rd Ste A3, Las Vegas, NV 89121 Phone: 702-434-9919 Fax: 702-270-0926 | |
Dr. Joseph Peter Wadoski, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3350 E Tropicana Ave, Las Vegas, NV 89121 Phone: 702-839-0200 Fax: 702-804-0201 | |
Dr. Keri Asraf, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8230 W Sahara Ave Ste 121, Las Vegas, NV 89117 Phone: 702-944-2001 | |
Dr. Edward Joseph Malik, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 11035 Lavender Hill Dr Ste 180, Las Vegas, NV 89135 Phone: 702-254-0332 Fax: 702-685-4112 | |
Daniel Truong, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 6230 N Durango Dr, Las Vegas, NV 89149 Phone: 702-737-3937 Fax: 702-737-8860 | |
Dr. Elizabeth Dong-hee Suh, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5060 S Fort Apache Rd Ste 150, Las Vegas, NV 89148 Phone: 702-586-5222 Fax: 702-586-5224 | |
Ellen Sy, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6408 Wild Blue Ct, Las Vegas, NV 89135 Phone: 510-219-3691 |