Jeimelie Magdato, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

572 Issued in NV

Practice address

1300 S Eastern Ave
Las Vegas, NV 89104-3902

Phone

(702) 385-2242

NPI assigned

Jan 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Las Vegas Family Eye Care, Todd C. Angell, O.D. LTD

  dba Las Vegas Family Eye Care

  • Optometrist
  • Las Vegas, NV
  • NPI 1114140399
  Medicare reassignment NPD
• Moderneyes Family Eye Care Magdato Guerrero PLLC

  dba ModernEyes Family Eye Care

  • Optometrist
  • Las Vegas, NV
  • NPI 1902314198
  NPD

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202947200000",
    "number": "1861542359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2391 BROOKLYN BRIDGE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351138",
            "telephone_number": "714-423-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043902",
            "telephone_number": "702-385-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGDATO",
        "first_name": "JEIMELIE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2008-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "572",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13045",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vic Magbual
• Gilbert Magdael
• Kevin Magdael, DPT
• Magdalene Clinical Consulting, Inc.
• Rosario Magdariaga
• Avedis Magdesyan
• Marine Magdesyan
• Mage Behavioral Health LLC
• Denise P Mageau
• Akayla Magee

• 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 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.

Verify at the official NPI Registry.