MEDICARE: ICARE LAS VEGAS

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	557	NV

General Provider Information

NPI Number	:	1174757231
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ICARE LAS VEGAS

Provider Business Mailing Address
First Line	:	2021 N RAINBOW BLVD
Second Line	:	SUITE 100A
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-7098
Country	:	US
Telephone Number	:	702-631-6125
Fax Number	:	702-636-0418

Provider Business Practice Location Address
First Line	:	3300 E FLAMINGO RD
Second Line	:	#20
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-4398
Country	:	US
Telephone Number	:	702-631-6125
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. GABRIEL HERNANDEZ
Credential	:	O.D.
Telephone Number	:	702-631-6125

Provider Enumeration Date	:	05/05/2009
Last Update Date	:	05/05/2009

Similar Medicare Providers

1396809927 — MRS. TAMARA GUTIERREZ O.D.
Practice Location Address:

3300 E FLAMINGO RD STE 20
LAS VEGAS, NV
89121-4398

Practice Phone: 702-434-9919
Practice Fax: 702-319-2156

1063568103 — GEM OPTICAL
Practice Location Address:

3300 E FLAMINGO RD , SUITE 20
LAS VEGAS, NV
89121-4398

Practice Phone: 702-434-9919
Practice Fax:

1184180184 — LAYNA ANN WILLIAMS CNM
Practice Location Address:

3300 E FLAMINGO RD STE 25
LAS VEGAS, NV
89121-4398

Practice Phone: 702-547-9888
Practice Fax: 702-547-9988

1558767806 — SAUMYA VINOD JOSHI MBBS, MD
Practice Location Address:

3726 LAS VEGAS BLVD S UNIT 3406
LAS VEGAS, NV
89158-4398

Practice Phone: 412-708-2759
Practice Fax:

1669575205 — DAVID ANTHONY CORDOBA DDS
Practice Location Address:

8460 S EASTERN AVE , SUITE D
LAS VEGAS, NV
89123-2864

Practice Phone: 702-614-4398
Practice Fax: 702-896-3974

1992220818 — BRIONSHEA LASHAY MOORE
Practice Location Address:

3440 E RUSSELL RD
LAS VEGAS, NV
89120-2201

Practice Phone: 702-214-4398
Practice Fax: 702-214-4254

Directions to “ICARE LAS VEGAS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.