Active NPI
David P Yesnick OD Prof Corp
- Optometrist
- Las Vegas, NV
National Provider Identifier
1083806970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 335
- Legal business name
- DAVID P YESNICK OD PROF CORP
- Practice address
- 9191 W Flamingo Rd Ste 120
Las Vegas, NV 89147-6859 - Phone
- (702) 966-2020
- Fax
- (702) 966-2022
- NPI assigned
- Aug 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brenda Sanchez
- Title
- Billing
- Phone
- (702) 966-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 335 | NV | Primary |
Addresses
Primary practice location
9191 W Flamingo Rd Ste 120
Las Vegas, NV 89147-6859
Mailing address
9191 W Flamingo Rd Ste 120
Las Vegas, NV 89147-6859
Phone (702) 966-2020
Other practice location 1
10198 W Flamingo Rd
Suite 100
Las Vegas, NV 89147-5730
Phone (702) 966-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9191 W Flamingo Rd
Ste 120
Las Vegas, NV 89147
Phone (702) 476-0871
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Las Vegas, NV
- NPI 1255377040
-
- Occupational Therapist
- Las Vegas, NV
- NPI 1851371256
-
- Optometrist
- Las Vegas, NV
- NPI 1194026641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698969600000",
"number": "1083806970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9191 W FLAMINGO RD STE 120",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891476859",
"telephone_number": "702-966-2020",
"fax_number": "702-966-2022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9191 W FLAMINGO RD STE 120",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891476859",
"telephone_number": "702-966-2020",
"fax_number": "702-966-2022"
}
],
"practiceLocations": [
{
"address_1": "10198 W Flamingo Rd",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891475730",
"country_code": "US",
"telephone_number": "702-966-2020",
"fax_number": "702-966-2022",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DAVID P YESNICK OD PROF CORP",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-14",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A",
"authorized_official_last_name": "SANCHEZ",
"authorized_official_first_name": "BRENDA",
"authorized_official_title_or_position": "BILLING",
"authorized_official_telephone_number": "702-966-2020"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NV",
"license": "335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.