MEDICARE: EYECARE ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	152W00000X	Optometrist
2	152WC0802X	Corneal and Contact Management Optometrist
3	152WP0200X	Pediatric Optometrist
4	207W00000X	Ophthalmology Physician
5	207WX0110X	Pediatric Ophthalmology and Strabismus Specialist Physician Physician
6	207WX0120X	Cornea and External Diseases Specialist Physician

General Provider Information

NPI Number	:	1558825687
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYECARE ASSOCIATES

Provider Business Mailing Address
First Line	:	3810 E FLAMINGO RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-6227
Country	:	US
Telephone Number	:	702-948-2010
Fax Number	:

Provider Business Practice Location Address
First Line	:	3810 E FLAMINGO RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-6227
Country	:	US
Telephone Number	:	702-948-2010
Fax Number	:	702-920-8787

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. AMEL YOUSSEF
Credential	:	OD
Telephone Number	:	702-948-2010

Provider Enumeration Date	:	01/23/2019
Last Update Date	:	05/31/2024

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