Individual provider Active NPI

Ka Yan Cheung, O.D.

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1407160906
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
678 Issued in NV
Practice address
2580 S Decatur Blvd
#6
Las Vegas, NV 89102-0050
Phone
(702) 876-2020
Fax
(702) 876-0005
NPI assigned
Jul 27, 2010
Last updated
May 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 678 NV Primary

Addresses

Primary practice location

2580 S Decatur Blvd
#6
Las Vegas, NV 89102-0050

Mailing address

2580 S Decatur Blvd
#6
Las Vegas, NV 89102-0050
Phone (702) 876-2020

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
I20161026002358 NV Practitioner - Optometry 5799063723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2580 S Decatur Blvd
Suite 6
Las Vegas, NV 89102-5513
Phone (702) 876-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optic Gallery Sahara LLC Optometrist CurrentSince Oct 1, 2016 Accepting new patients
Wonchon Lin, M.D., PLLC CurrentSince Dec 1, 2019 Accepting new patients

Locations

2580 S Decatur Blvd
Ste 6
Las Vegas, NV 89102
Phone (702) 570-2820

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1407160906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 S DECATUR BLVD",
            "address_2": "#6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891020050",
            "telephone_number": "702-876-2020",
            "fax_number": "702-876-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 S DECATUR BLVD",
            "address_2": "#6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891020050",
            "telephone_number": "702-876-2020",
            "fax_number": "702-876-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEUNG",
        "first_name": "KA YAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-27",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.