Healthcare Provider Details

I. General information

NPI: 1215981584
Provider Name (Legal Business Name): IRENE VOO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 10/09/2021
Certification Date: 10/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6970 S CIMARRON RD SUITE 200
LAS VEGAS NV
89113
US

IV. Provider business mailing address

8545 W WARM SPRINGS RD STE A-4-268
LAS VEGAS NV
89113-3625
US

V. Phone/Fax

Practice location:
  • Phone: 702-583-3300
  • Fax: 702-583-3400
Mailing address:
  • Phone: 702-583-3300
  • Fax: 702-583-3400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number11386
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code207WX0108X
TaxonomyUveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
License Number11386
License Number StateNV
# 3
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number11386
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: