Active NPI
Robert Mark Wlodek, O.D.
- Optometrist
- Las Vegas, NV
National Provider Identifier
1295812063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 421
- Practice address
- 9895 S Maryland Pkwy
Suite D
Las Vegas, NV 89183-7165 - Phone
- (702) 435-3937
- Fax
- (702) 436-3937
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 421 | NV | Primary |
Addresses
Primary practice location
9895 S Maryland Pkwy
Suite D
Las Vegas, NV 89183-7165
Mailing address
245 Elkins Cir
Henderson, NV 89074-5369
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002502054 | Medicaid | NV |
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pritchett Eye Care PC | Optometrist | Current | Accepting new patients |
| Pritchett Eye Care PC | Optometrist | Current | Accepting new patients |
| Pritchett Eye Care PC | Optometrist | Current | Accepting new patients |
Locations
9895 S Maryland Pkwy
Ste D
Las Vegas, NV 89183
Phone (702) 435-3937
10870 W Charleston Blvd
Ste 105
Las Vegas, NV 89135
Phone (702) 877-3937
5961 S Los Altos Pkwy
Ste 101
Sparks, NV 89436
Phone (775) 359-2020
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 and National Provider Directory roles.
-
- Optometrist
- Sparks, NV
- NPI 1679889372
-
- Optometrist
- Pahrump, NV
- NPI 1730664327
-
- Optometrist
- Sparks, NV
- NPI 1962717603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202947200000",
"number": "1295812063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 ELKINS CIR",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890745369",
"fax_number": "702-436-3937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9895 S MARYLAND PKWY",
"address_2": "SUITE D",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891837165",
"telephone_number": "702-435-3937",
"fax_number": "702-436-3937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WLODEK",
"first_name": "ROBERT",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2008-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NV",
"license": "421",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002502054",
"state": "NV"
}
],
"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 Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.