Individual provider Active NPI

Vincent E Sorgentoni, O.D.

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1619265543
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
965 Issued in NV
Practice address
3615 S Rainbow Blvd
Las Vegas, NV 89103-1057
Phone
(725) 272-1712
Fax
(725) 735-8401
NPI assigned
Jul 12, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 965 NV Primary
Optometrist 152W00000X OPT-002218 AZ

Addresses

Primary practice location

3615 S Rainbow Blvd
Las Vegas, NV 89103-1057

Mailing address

3615 S Rainbow Blvd
Las Vegas, NV 89103-1057
Phone (725) 272-1712

Other practice location 1

3460 S Maryland Pkwy # 180
Las Vegas, NV 89169-3036
Phone (725) 735-8400

Other identifiers 1

IdentifierTypeStateIssuer
12265234OtherCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180713001295 NV Practitioner - Optometry 5698923134 Reassigns benefits to 3 organizations
I20230103002313 AZ Practitioner - Optometry 5698923134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT-002218AZMDOptometrist
965NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Consultants Optometrist CurrentSince Jan 1, 2023 Accepting new patients
Vegas Valley Eye and Vision Optometrist CurrentSince Jul 27, 2022 Accepting new patients
Vision Consultants Optometrist CurrentSince Jan 1, 2023 Accepting new patients
David I Malitz MD., PC CurrentSince Jun 1, 2019 Accepting new patients
Omni Eye Specialists P a PastSince Jan 1, 2020 Accepting new patients
New Jersey Vision Asssociates Group Practices PC PastSince Jul 12, 2005 Accepting new patients

Locations

1001 Walnut St
Evansville, IN 47713
Phone (812) 421-2020

3200 Las Vegas Blvd S
Ste 1620
Las Vegas, NV 89109
Phone (702) 341-7254

3460 S Maryland Pkwy
#180
Las Vegas, NV 89169
Phone (725) 735-8400

8981 W Sahara Ave
Ste 270
Las Vegas, NV 89117
Phone (702) 362-3900

4675 W Flamingo Rd
Ste 1
Las Vegas, NV 89103
Phone (702) 362-3900

10580 N McCarran Blvd
Ste 115255
Reno, NV 89503

2045 Silverada Blvd
Reno, NV 89512
Phone (775) 359-3161

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1619265543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 S RAINBOW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891031057",
            "telephone_number": "725-272-1712",
            "fax_number": "725-735-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 S RAINBOW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891031057",
            "telephone_number": "725-272-1712",
            "fax_number": "725-735-8401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3460 S Maryland Pkwy # 180",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891693036",
            "country_code": "US",
            "telephone_number": "725-735-8400",
            "fax_number": "725-735-8401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SORGENTONI",
        "first_name": "VINCENT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-12",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "965",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002218",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12265234",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.