NPIMap

Organization Active NPI

Michael Vathanasaynee, O.D. Professional Corporation

  • Optometrist
  • North Las Vegas, NV
National Provider Identifier
1215261847
Registry record updated Dec 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
609 Issued in NV
Legal business name
MICHAEL VATHANASAYNEE, O.D. PROFESSIONAL CORPORATION
Practice address
3950 W Lake Mead Blvd
North Las Vegas, NV 89032-4895
Phone
(714) 926-4384
NPI assigned
Sep 30, 2009
Last updated
Dec 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2012

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

Authorized official

Name
Dr. Michael Vathanasaynee, O.D.NPI 1083810212
Title
President
Phone
(714) 926-4384

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 609 NV Primary

Addresses

Primary practice location

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

Mailing address

11714 Longworth Rd
Las Vegas, NV 89135-1322
Phone (714) 926-4384

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1215261847",
    "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": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890324895",
            "telephone_number": "714-926-4384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL VATHANASAYNEE, O.D. PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-30",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "VATHANASAYNEE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-926-4384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.