Michael Vathanasaynee, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

609 Issued in NV

Practice address

3950 W Lake Mead Blvd
N Las Vegas, NV 89032-4895

Phone

(702) 737-2020

NPI assigned

Jun 25, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, NV2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tedder Optometric Clinic Management, P.C.

  • Optometrist
  • Fontana, CA
  • NPI 1851091805
  Medicare reassignment NPD
• Tedder Optometric Corporation, PC

  • Optometrist
  • Lake Forest, CA
  • NPI 1679262158
  Medicare reassignment NPD
• Hansra Optometric Corporation

  • Eyewear Supplier
  • Sacramento, CA
  • NPI 1366258436
  NPD
• Larry J Gottlieb Inc a Professional Corporation

  • Optometrist
  • Lakewood, CA
  • NPI 1013176130
  NPD (past)
• Larry J Gottlieb Inc a Professional Corporation

  • Optometrist
  • Lakewood, CA
  • NPI 1235537119
  NPD (past)
• Tedder Optometry Group, PC

  • Optometrist
  • San Dimas, CA
  • NPI 1184484222
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355356800000",
    "number": "1083810212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11714 LONGWORTH RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351322",
            "telephone_number": "714-926-4384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 W LAKE MEAD BLVD",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890324895",
            "telephone_number": "702-737-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VATHANASAYNEE",
        "first_name": "MICHAEL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2012-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009940",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Joseph Vadovic, RN, MSN, ANP-C
• Gloria Valdovinos
• Tia Star Valentine
• Kelly E Van Wagner, M.D.
• William Vargas
• Vegas Ambulatory Surgery Center LLC
• Mirian Lorena Velazquez Gutierrez
• Luis Alberto Velazquez, M.D.
• Grace Artigas Veluz
• Rhonda Vikmyhr

• Optometrist in N Las Vegas, NV
• Providers in N Las Vegas, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.