Vivienne Velasco O D PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

543 Issued in NV

Legal business name

VIVIENNE VELASCO O D PC

Doing business as

iFocus Vision Center

Practice address

6135 S Fort Apache Rd Ste 400
Las Vegas, NV 89148-6731

Phone

(702) 473-5660

Fax

(702) 473-5532

NPI assigned

Nov 26, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Vivienne Velasco, O.D.NPI 1902844608

Title

Owner

Phone

(702) 473-5660

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• iFocus Vision Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vivienne Velasco, O.D.

  • Optometrist
  • Las Vegas, NV
  • NPI 1902844608
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1227657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1548415920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9484 W FLAMINGO RD",
            "address_2": "SUITE 280",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891475744",
            "telephone_number": "702-473-5660",
            "fax_number": "702-473-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6135 S FORT APACHE RD STE 400",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891486731",
            "telephone_number": "702-473-5660",
            "fax_number": "702-473-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVIENNE VELASCO O D PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-26",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A",
        "authorized_official_last_name": "VELASCO",
        "authorized_official_first_name": "VIVIENNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-473-5660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100510409",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "iFocus Vision Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "iFocus Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vivavida Medical Group LLC
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• Renee Viveros
• Siumi Vives Ley
• Vivid Dental LLC
• Jessica Vivier
• Vivo Vision Inc.
• Alison Vixaysakd
• Katty Vizcaino
• Angelica Vizcarra

• Optometrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.