Healthcare Provider Details

I. General information

NPI: 1063607885
Provider Name (Legal Business Name): AMIN EYE CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2007
Last Update Date: 07/10/2024
Certification Date: 07/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6707 W CHARLESTON BLVD SUITE 1B
LAS VEGAS NV
89146-9240
US

IV. Provider business mailing address

6707 W CHARLESTON BLVD, SUITE 1B
LAS VEGAS NV
89146-9240
US

V. Phone/Fax

Practice location:
  • Phone: 702-878-8007
  • Fax: 702-878-4103
Mailing address:
  • Phone: 702-878-8007
  • Fax: 702-878-4103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number203
License Number StateNV

VIII. Authorized Official

Name: DR. AYUSHI AMIN
Title or Position: OWNER
Credential: O.D.
Phone: 702-878-8007