Individual provider Active NPI

Monica Nadine Pinon, O.D.

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1194026641
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
692 Issued in NV
Practice address
4355 S Grand Canyon Dr
Las Vegas, NV 89147-7106
Phone
(702) 917-1694
NPI assigned
Nov 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 692 NV Primary

Addresses

Primary practice location

4355 S Grand Canyon Dr
Las Vegas, NV 89147-7106

Mailing address

7500 W Lake Mead Blvd
#465
Las Vegas, NV 89128-0297
Phone (510) 205-7212

Other practice location 1

8981 W Sahara Ave Ste 270
Las Vegas, NV 89117-5894
Phone (702) 362-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
692NVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
David P Yesnick OD Prof Corp Optometrist PastSince Aug 1, 2004 Accepting new patients
Vision Recovery Center Inc Optometrist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1289692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1194026641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 W LAKE MEAD BLVD",
            "address_2": "#465",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280297",
            "telephone_number": "510-205-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 S GRAND CANYON DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891477106",
            "telephone_number": "702-917-1694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8981 W Sahara Ave Ste 270",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891175894",
            "country_code": "US",
            "telephone_number": "702-362-3900",
            "fax_number": "812-421-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINON",
        "first_name": "MONICA",
        "middle_name": "NADINE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-14",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "692",
            "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 Jan 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.