Provider Demographics
NPI:1063607885
Name:AMIN EYE CARE PLLC
Entity type:Organization
Organization Name:AMIN EYE CARE PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AYUSHI
Authorized Official - Middle Name:
Authorized Official - Last Name:AMIN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:702-878-8007
Mailing Address - Street 1:6707 W CHARLESTON BLVD, SUITE 1B
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-9240
Mailing Address - Country:US
Mailing Address - Phone:702-878-8007
Mailing Address - Fax:702-878-4103
Practice Address - Street 1:6707 W CHARLESTON BLVD
Practice Address - Street 2:SUITE 1B
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-9240
Practice Address - Country:US
Practice Address - Phone:702-878-8007
Practice Address - Fax:702-878-4103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-14
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV203152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV250020132Medicaid
NV410021658OtherRAILROAD MEDICARE PROV ID