MEDICARE: PARK FAMILY EYECARE 2

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

General Provider Information

NPI Number	:	1861097016
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARK FAMILY EYECARE 2

Provider Business Mailing Address
First Line	:	2188 ORCHARD MIST ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-1562
Country	:	US
Telephone Number	:	702-573-9471
Fax Number	:

Provider Business Practice Location Address
First Line	:	4284 SPRING MOUNTAIN RD UNIT 102
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-8787
Country	:	US
Telephone Number	:	702-327-6329
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. PETER PARK
Credential	:	OD
Telephone Number	:	702-573-9471

Provider Enumeration Date	:	12/03/2020
Last Update Date	:	12/03/2020

Similar Medicare Providers

1164478715 — AMERICAN DRUG STORES LLC
Practice Location Address:

4801 SPRING MOUNTAIN RD
LAS VEGAS, NV
89102-8787

Practice Phone: 702-368-2357
Practice Fax: 702-368-1917

1508426495 — GERALYN O GREEN
Practice Location Address:

1750 KAREN AVE APT 328
LAS VEGAS, NV
89169-8787

Practice Phone: 951-224-2401
Practice Fax:

1033470364 — DR. KYLE GREENE M.D.
Practice Location Address:

2300 W CHARLESTON BLVD
LAS VEGAS, NV
89102-2149

Practice Phone: 702-724-8787
Practice Fax:

1083611362 — DR. EDGARDO AVERION FAYLONA M.D.
Practice Location Address:

2300 W CHARLESTON BLVD
LAS VEGAS, NV
89102-2149

Practice Phone: 702-724-8787
Practice Fax:

1013937481 — CARLOS W. ARAUJO MD
Practice Location Address:

2300 W CHARLESTON BLVD
LAS VEGAS, NV
89102-2149

Practice Phone: 702-724-8787
Practice Fax:

1689086860 — DARLA G ADAMS FNP-BC
Practice Location Address:

2300 W CHARLESTON BLVD
LAS VEGAS, NV
89102-2149

Practice Phone: 702-724-8787
Practice Fax:

Directions to “PARK FAMILY EYECARE 2 ” 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 © 2007-2025 (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.