MEDICARE: DR. YLIANA CETINA OD

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	1058	NV
2	152W00000X	Optometrist	34625	CA

General Provider Information

NPI Number	:	1215564513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YLIANA CETINA OD

Provider Business Mailing Address
First Line	:	1300 S EASTERN AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-3902
Country	:	US
Telephone Number	:	702-385-2242
Fax Number	:	702-382-7955

Provider Business Practice Location Address
First Line	:	6707 W CHARLESTON BLVD STE 1B
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-9200
Country	:	US
Telephone Number	:	702-878-8007
Fax Number	:	702-878-4103

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2020
Last Update Date	:	05/19/2026

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