MEDICARE: EYE & COSMETIC SURGERY LLC

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	207W00000X	Ophthalmology Physician	926

General Provider Information

NPI Number	:	1609205731
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYE & COSMETIC SURGERY LLC

Provider Business Mailing Address
First Line	:	2505 ANTHEM VILLAGE DR E-594
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052
Country	:	US
Telephone Number	:	702-642-7711
Fax Number	:	702-642-8822

Provider Business Practice Location Address
First Line	:	3210 E LAKE MEAD BLVD
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030-9004
Country	:	US
Telephone Number	:	702-642-7711
Fax Number	:	702-642-8822

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. JAMES DANIEL CARPENTER
Credential	:	D.O.
Telephone Number	:	702-642-7711

Provider Enumeration Date	:	11/08/2013
Last Update Date	:	12/15/2023

Similar Medicare Providers

1326674813 — EYE & FACIAL CARE LLC
Practice Location Address:

3210 E LAKE MEAD BLVD
NORTH LAS VEGAS, NV
89030-9004

Practice Phone: 702-642-7711
Practice Fax:

1023190279 — DR. DANILO MOLERA DUENAS M.D.
Practice Location Address:

7373 PEAK DR STE 130
LAS VEGAS, NV
89128-9004

Practice Phone: 725-780-4351
Practice Fax: 725-780-4339

1245654607 — ROSOLYN TOWNER
Practice Location Address:

6767 W CHARLESTON BLVD STE 150
LAS VEGAS, NV
89146-9004

Practice Phone: 602-919-7962
Practice Fax:

1285014977 — SOLOMON'S PORCH COUNSELING CENTER
Practice Location Address:

6767 W CHARLESTON BLVD STE 150
LAS VEGAS, NV
89146-9004

Practice Phone: 702-629-6340
Practice Fax: 702-629-7928

1386166478 — MALIK ANTHONY WYNTER MSW, CSW-I
Practice Location Address:

7373 PEAK DR STE 130
LAS VEGAS, NV
89128-9004

Practice Phone: 702-471-0420
Practice Fax:

1053890020 — ROBERT HAWKINS COMMUNITY COUNSELING SERVICES
Practice Location Address:

350 E DESERT INN RD UNIT E103
LAS VEGAS, NV
89109-9004

Practice Phone: 323-682-3045
Practice Fax:

Directions to “EYE & COSMETIC SURGERY LLC ” 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.