Individual provider Active NPI

Amanda Paez

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1255269767
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1264 Issued in NV
Practice address
2021 N Rainbow Blvd Ste 100
Las Vegas, NV 89108-7098
Phone
(702) 452-2020
NPI assigned
May 13, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1264 NV Primary

Addresses

Primary practice location

2021 N Rainbow Blvd Ste 100
Las Vegas, NV 89108-7098

Mailing address

4045 Spencer St Ste A59
Las Vegas, NV 89119-9311
Phone (702) 452-2020

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4045 Spencer St
Suite A59
Las Vegas, NV 89119-5245

4045 Spencer St
Suite A59
Las Vegas, NV 89119-9311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1778630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1255269767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 SPENCER ST STE A59",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891199311",
            "telephone_number": "702-452-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 N RAINBOW BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891087098",
            "telephone_number": "702-452-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAEZ",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-13",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "1264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.