MEDICARE: DR. ANTHONY JOSEPH UY O.D.

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	1102	NV

General Provider Information

NPI Number	:	1699344325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY JOSEPH UY O.D.

Provider Business Mailing Address
First Line	:	10470 W. CHEYENNE AVE
Second Line	:	STE 115, PMB 307
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-8733
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 N NELLIS BLVD STE 130
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89110-6010
Country	:	US
Telephone Number	:	702-820-2020
Fax Number	:

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

Provider Enumeration Date	:	06/17/2021
Last Update Date	:	06/17/2021

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