Individual provider Active NPI

Kareen Yeung Landerville, O.D.

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1699885830
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
756 Issued in NV
Practice address
7455 W Washington Ave Ste 470
Las Vegas, NV 89128-4338
Phone
(702) 998-8798
Fax
(702) 998-4181
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4589 MA
Vision Therapy Optometrist 152WV0400X 11987T CA
Optometrist 152W00000X 756 NV Primary

Addresses

Primary practice location

7455 W Washington Ave Ste 470
Las Vegas, NV 89128-4338

Mailing address

7455 W Washington Ave Ste 470
Las Vegas, NV 89128-4338
Phone (702) 998-8798

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
I20230223002612 NV Practitioner - Optometry 5395833628

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
4589MAMDOptometrist
756NVMDOptometrist
11987TCAMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tchao Eye Associates LLC Optometrist PastSince Feb 4, 2024 Accepting new patients
Delugan, Thurm and Associates OD PC Optometrist Past Accepting new patients
Aeg Massachusetts Professional PC Optometrist PastSince Dec 9, 2023 Accepting new patients
Cape Cod Vision Associates Inc Optometrist PastSince Sep 19, 2006 Accepting new patients

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1699885830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7455 W WASHINGTON AVE STE 470",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891284338",
            "telephone_number": "702-998-8798",
            "fax_number": "702-998-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7455 W WASHINGTON AVE STE 470",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891284338",
            "telephone_number": "702-998-8798",
            "fax_number": "702-998-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEUNG LANDERVILLE",
        "first_name": "KAREEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4589",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "11987T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.