Vision Veinte Veinte | |
556 N Eastern Ave Ste A, Las Vegas, NV 89101-3453 | |
(702) 388-9400 | |
(702) 385-1116 |
Full Name | Vision Veinte Veinte |
---|---|
Type | Facility |
Speciality | Exclusive Provider Organization |
Location | 556 N Eastern Ave Ste A, Las Vegas, Nevada |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528304458 | NPI | - | NPPES |
345273201 | Medicaid | TX | |
1851668339 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 716 (Nevada) | Secondary |
302F00000X | Exclusive Provider Organization | 8041T (Texas) | Primary |
Provider Name | Nataly Gammoh |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1851668339 PECOS PAC ID: 1254594054 Enrollment ID: I20130225000324 |
Provider Name | Lorenzo L Nichols |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1891135836 PECOS PAC ID: 2264662667 Enrollment ID: I20150601000311 |
Provider Name | Jeffrey C Natchez |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1609975085 PECOS PAC ID: 8325146681 Enrollment ID: I20211222000553 |
Provider Name | Sukumar Pandit |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1366487118 PECOS PAC ID: 1254344997 Enrollment ID: I20220103000328 |
Mailing Address | Practice Location Address |
---|---|
Vision Veinte Veinte 556 N Eastern Ave Ste A, Las Vegas, NV 89101-3453 Ph: (702) 388-9400 | Vision Veinte Veinte 556 N Eastern Ave Ste A, Las Vegas, NV 89101-3453 Ph: (702) 388-9400 |