Individual provider Active NPI

Nicholas Paul Cutunilli, OD

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1932694197
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002267 Issued in AZ
Practice address
7090 N Durango Dr Ste 110
Las Vegas, NV 89149-4495
Phone
(702) 220-3937
Fax
(702) 655-3182
NPI assigned
Jun 28, 2018
Last updated
Mar 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT-002267 AZ Primary

Addresses

Primary practice location

7090 N Durango Dr Ste 110
Las Vegas, NV 89149-4495

Mailing address

7090 N Durango Dr Ste 110
Las Vegas, NV 89149-4495
Phone (702) 220-3937

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
I20240724000356 NV Practitioner - Optometry 8628326543 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence Wang OD IncGroup PAC ID 9133163587, 3 clinicians

Practice addresses (Care Compare)

7090 N Durango Dr
Suite 110
Las Vegas, NV 89149-4495
Phone (702) 220-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Wang OD Inc Optometrist CurrentSince Jun 19, 2024 Accepting new patients
Desert Retina PLLC CurrentSince Mar 30, 2026 Accepting new patients
Progressive Eyecare Optometrist CurrentSince Jun 29, 2025 Accepting new patients

Locations

2851 N Tenaya Way
Ste 104
Las Vegas, NV 89128
Phone (702) 702-2002

2870 S Maryland Pkwy
Ste 300
Las Vegas, NV 89109
Phone (702) 702-2002

7090 N Durango Dr
Ste 110
Las Vegas, NV 89149
Phone (702) 220-3937

740 S Rampart Blvd
Ste 6
Las Vegas, NV 89145
Phone (702) 331-4247

1513 W Craig Rd
Ste 1
North Las Vegas, NV 89032
Phone (702) 368-2021

Organizations & group practices 3

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": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1932694197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7090 N DURANGO DR STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494495",
            "telephone_number": "702-220-3937",
            "fax_number": "702-655-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7090 N DURANGO DR STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494495",
            "telephone_number": "702-220-3937",
            "fax_number": "702-655-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTUNILLI",
        "first_name": "NICHOLAS",
        "middle_name": "PAUL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-28",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.