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NPI Code Detail

MEDICARE: MATTHEW VUONG OD

MEDICARE: MATTHEW VUONG OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist1265NV

General Provider Information

NPI Number : 1194641720
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW VUONG OD
Provider Business Mailing Address
First Line : 4045 SPENCER ST STE A59
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-9311
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2021 N RAINBOW BLVD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89108-7098
Country : US
Telephone Number : 702-452-2020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2026
Last Update Date : 06/27/2026

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Directions to “ MATTHEW VUONG OD” Practice Location

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