Amin Eye Care PLLC
Organization Active NPI Optometrist · Las Vegas, NV
NPI 1063607885 · NPPES record last updated Jul 10, 2024
Key facts
- NPI
- 1063607885
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 203 (NV)
- Legal business name
- AMIN EYE CARE PLLC
- Practice address
- 6707 W Charleston Blvd
Suite 1B
Las Vegas, NV 89146-9240 - Phone
- (702) 878-8007
- Fax
- (702) 878-4103
- NPI assigned
- Sep 14, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Ayushi Amin, O.D.
- Title
- Owner
- Phone
- (702) 878-8007
Practitioners 2
-
Ayushi Amin, OD
-
Yliana Cetina, OD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220421001903 | NV | Part B Supplier - Clinic/Group Practice | 8224425251 |
Receives reassigned benefits from 2 practitioners Practice locations: Las Vegas, NV |
National Provider Directory
Locations
6707 W Charleston Blvd
Ste 1B
Las Vegas, NV 89146
Phone (702) 878-2463
6707 W Charleston Blvd
Las Vegas, NV 89146
Phone (702) 438-0888
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 203 | NV | Yes |
Addresses
Primary practice location
6707 W Charleston Blvd
Suite 1B
Las Vegas, NV 89146-9240
Mailing address
6707 W Charleston Blvd, Suite 1B
Las Vegas, NV 89146-9240
Phone (702) 878-8007
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 250020132 | Medicaid | NV |
Other names
- RevolutionEyes Primary Eye Care & Dry Eye Clinic
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.