Individual provider Active NPI

Vorapas Thunyalukul, OD

  • Optometrist
  • Henderson, NV
National Provider Identifier
1184607095
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
447 Issued in NV
Practice address
1450 W Horizon Ridge Pkwy Ste B306
Henderson, NV 89012-4480
Phone
(702) 309-2020
Fax
(702) 307-3082
NPI assigned
Nov 23, 2005
Last updated
Oct 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12508 TPA CA
Optometrist 152W00000X 447 NV Primary

Addresses

Primary practice location

1450 W Horizon Ridge Pkwy Ste B306
Henderson, NV 89012-4480

Mailing address

11051 Desert Heights Ave
Las Vegas, NV 89135-3641
Phone (714) 677-7405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051012000742 NV Practitioner - Optometry 0840215497 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12508 TPACAMDOptometrist
447NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Thomas Ha Prof. Corp. Optometrist CurrentSince Nov 1, 2025 Accepting new patients
Fort Thompson Indian Health Service Past Accepting new patients

Locations

2789 Sunridge Heights Pkwy
Henderson, NV 89052

2789 Sunridge Heights Pkwy
Ste 110
Henderson, NV 89052
Phone (702) 749-6967

10660 Southern Highlands Pkwy
Ste 101
Las Vegas, NV 89141
Phone (702) 435-6527

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1184607095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11051 DESERT HEIGHTS AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891353641",
            "telephone_number": "714-677-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 W HORIZON RIDGE PKWY STE B306",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890124480",
            "telephone_number": "702-309-2020",
            "fax_number": "702-307-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THUNYALUKUL",
        "first_name": "VORAPAS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12508 TPA",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.