MEDICARE: HELEN M NGHIEM, OD, PC

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
1	152W00000X	Optometrist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326614793
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HELEN M NGHIEM, OD, PC

Provider Business Mailing Address
First Line	:	4300 MEADOWS LN STE 104
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89107-3018
Country	:	US
Telephone Number	:	702-822-6003
Fax Number	:

Provider Business Practice Location Address
First Line	:	4300 MEADOWS LN STE 104
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89107-3018
Country	:	US
Telephone Number	:	702-822-6003
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HELEN M KNISLEY
Credential	:	OD
Telephone Number	:	702-321-8536

Provider Enumeration Date	:	05/27/2021
Last Update Date	:	06/19/2025

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