MEDICARE: ROGER PAEZ O.D. CHARTERED

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	507	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306034855
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROGER PAEZ O.D. CHARTERED

Provider Business Mailing Address
First Line	:	5905 S EASTERN AVE STE 101
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-3130
Country	:	US
Telephone Number	:	702-893-3937
Fax Number	:	702-893-3429

Provider Business Practice Location Address
First Line	:	5905 S EASTERN AVE STE 101
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-3130
Country	:	US
Telephone Number	:	702-893-3937
Fax Number	:	702-893-3429

Authorized Official
Title or Position	:	PRESIDENT
Name	:	STEPHANIE JOHNSON
Credential	:
Telephone Number	:	702-893-3937

Provider Enumeration Date	:	10/10/2007
Last Update Date	:	08/10/2018

Similar Medicare Providers

1619154507 — DR. MICHAEL T PHAM DMD
Practice Location Address:

5905 S EASTERN AVE STE 112
LAS VEGAS, NV
89119-3130

Practice Phone: 702-262-5693
Practice Fax: 702-262-5693

1770930612 — EASTERN HILLS DENTAL LLC
Practice Location Address:

5905 S EASTERN AVE STE 112
LAS VEGAS, NV
89119-3130

Practice Phone: 702-395-1088
Practice Fax:

1417471509 — EASTERN HILL FAMILY DENTAL LLC
Practice Location Address:

5905 S EASTERN AVE STE 112
LAS VEGAS, NV
89119-3130

Practice Phone: 702-262-5693
Practice Fax: 702-507-6450

1467023168 — MARIA EUGENIA FELIX
Practice Location Address:

5905 S EASTERN AVE STE 101
LAS VEGAS, NV
89119-3130

Practice Phone: 702-893-3937
Practice Fax:

1063170082 — NU SMILES2, LLC
Practice Location Address:

5905 S EASTERN AVE STE 112
LAS VEGAS, NV
89119-3130

Practice Phone: 702-848-2525
Practice Fax:

1427903830 — LISA GELBMANN
Practice Location Address:

3751 S NELLIS BLVD SPC 240
LAS VEGAS, NV
89121-3130

Practice Phone: 725-290-1192
Practice Fax:

Directions to “ROGER PAEZ O.D. CHARTERED ” 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.