Individual provider Active NPI

Amel Y Youssef, O.D.

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1275683294
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
449 Issued in NV
Practice address
2010 Festival Plaza Dr
Ste 195
Las Vegas, NV 89135-1455
Phone
(702) 858-4362
Fax
(702) 920-8787
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 449 NV Primary

Addresses

Primary practice location

2010 Festival Plaza Dr
Ste 195
Las Vegas, NV 89135-1455

Mailing address

2010 Festival Plaza Dr
Ste 195
Las Vegas, NV 89135-1455
Phone (702) 858-4362

Other identifiers 1

IdentifierTypeStateIssuer
CS19117OtherNVCONTROLLED SUBSTANCE CERTIFICATE

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
I20040525000127 NV Practitioner - Optometry 0446241731 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2010 Festival Plaza Dr
Suite 195
Las Vegas, NV 89135-1455
Phone (702) 858-4362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
449NVMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Associates Optometrist CurrentSince Jan 1, 2019 Accepting new patients
Sand Optometrist CurrentSince Nov 11, 2012 Accepting new patients
Luis a Moreno Jr MD Professional Corporation CurrentSince Dec 29, 2024 Accepting new patients
Jon L Siems MD Professional Corp Inc Past Accepting new patients

Locations

2010 Festival Plaza Dr
Las Vegas, NV 89135

1930 Village Center Cir
Ste 3
Las Vegas, NV 89134

2010 Festival Plaza Dr
Ste 195
Las Vegas, NV 89135
Phone (702) 858-4362

10777 W Twain Ave
Ste 150
Las Vegas, NV 89135
Phone (702) 948-2010

3810 E Flamingo Rd
Las Vegas, NV 89121
Phone (702) 948-2010

1930 Village Center Cir
#3713
Las Vegas, NV 89134

Organizations & group practices 4

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1275683294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 FESTIVAL PLAZA DR",
            "address_2": "STE 195",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351455",
            "telephone_number": "702-858-4362",
            "fax_number": "702-920-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 FESTIVAL PLAZA DR",
            "address_2": "STE 195",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351455",
            "telephone_number": "702-858-4362",
            "fax_number": "702-920-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSSEF",
        "first_name": "AMEL",
        "middle_name": "Y",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE CERTIFICATE",
            "identifier": "CS19117",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.