Icarelasvegas is a Optometrist in Las Vegas, Nevada. Icarelasvegas practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Icarelasvegas is 1366606139. The last update date is 2012-06-13.
Icarelasvegas's current location address is 6134 W Lake Mead Blvd, Las Vegas, Nevada. You can contact this provider via phone number 7026314144 and fax number 7026319094. The mailing address for Icarelasvegas is 6134 W Lake Mead Blvd, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Icarelasvegas |
|---|---|
| Address | 6134 W Lake Mead Blvd, Las Vegas, Nevada |
| Phone Number | 7026314144 |
| Fax Number | 7026319094 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SOLE-MEMBE |
|---|---|
| Authorized Official Name | Hernandez Gabriel |
| Credentials | O.D. |
| Telephone Number | 7026314144 |
NPI Number Detail
| NPI Number | 1366606139 |
|---|---|
| Provider Enumeration Date | 2008-07-11 |
| Last Updated Date | 2012-06-13 |
Provider Mailing Address Detail
| Address | 6134 W Lake Mead Blvd |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 891082659 |
| Phone Number | 7026314144 |
| Fax Number | 7026319094 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 557 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| BH615A | NV | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Icarelasvegas by the Centers for Medicare & Medicaid Services?
The Icarelasvegas has been issued the NPI (National Provider Identifier) 1366606139, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Icarelasvegas's facilities are situated?
The facilities of Icarelasvegas are physically located at the following address: 6134 W Lake Mead Blvd, Las Vegas, NV, 891082659.
What is Icarelasvegas's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Icarelasvegas's specialized field of practice is Optometrist, and the corresponding taxonomy code that categorizes this area of specialization is 152W00000X.
When was the Icarelasvegas's 1366606139 issued?
The Icarelasvegas's 1366606139 was issued on 2008-07-11.
As of what date were the details related to Icarelasvegas most recently updated or revised?
The information pertaining to Icarelasvegas, including its address, specialty, and other relevant details, was last updated or revised on 2012-06-13.