Provider Demographics
NPI:1215981584
Name:VOO, IRENE (MD)
Entity type:Individual
Prefix:DR
First Name:IRENE
Middle Name:
Last Name:VOO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8545 W WARM SPRINGS RD
Mailing Address - Street 2:STE A-4-268
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-3625
Mailing Address - Country:US
Mailing Address - Phone:702-583-3300
Mailing Address - Fax:702-583-3400
Practice Address - Street 1:6970 S CIMARRON RD
Practice Address - Street 2:SUITE 200
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113
Practice Address - Country:US
Practice Address - Phone:702-583-3300
Practice Address - Fax:702-583-3400
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-20
Last Update Date:2021-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV11386207WX0107X, 207WX0108X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207WX0108XAllopathic & Osteopathic PhysiciansOphthalmologyUveitis and Ocular Inflammatory Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1114394772OtherMEDICARE CORPORATE NPI
NV100505852Medicaid
NVCC7809OtherBCBS ANTHEM
NV100656OtherMEDICARE ID
NV1215981584OtherMEDICARE NPI
NVP00242173OtherRAILROAD MEDICARE
NV100656OtherMEDICARE ID