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NPI Code Detail

MEDICARE: EYECARE ASSOCIATES

MEDICARE: EYECARE ASSOCIATES
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
1152W00000XOptometrist
2152WC0802XCorneal and Contact Management Optometrist
3152WP0200XPediatric Optometrist
4207W00000XOphthalmology Physician
5207WX0110XPediatric Ophthalmology and Strabismus Specialist Physician
6207WX0120XCornea and External Diseases Specialist Physician

General Provider Information

NPI Number : 1558825687
Entity Type Code : Organization
Provider Name (Legal Business Name) : EYECARE ASSOCIATES
Provider Business Mailing Address
First Line : 3810 E FLAMINGO RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-6227
Country : US
Telephone Number : 702-948-2010
Fax Number :
Provider Business Practice Location Address
First Line : 3810 E FLAMINGO RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-6227
Country : US
Telephone Number : 702-948-2010
Fax Number : 702-920-8787
Authorized Official
Title or Position : PRESIDENT
Name : DR. AMEL YOUSSEF
Credential : OD
Telephone Number : 702-948-2010
Provider Enumeration Date : 01/23/2019
Last Update Date : 05/31/2024

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1952761009 — KRISTEN LAYMON
Practice Location Address:
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Directions to “EYECARE ASSOCIATES ” Practice Location

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