PHOENIX VISION LLC – NPI #1518789247
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

PHOENIX VISION LLC is a provider located in LAS VEGAS, NV. NPPES has assigned the NPI number 1518789247 to PHOENIX VISION LLC on October 24, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PHOENIX VISION LLC below.

NPI Profile for
PHOENIX VISION LLC

NPI Number
1518789247
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PHOENIX VISION LLC
Primary location
2835 S JONES BLVD
LAS VEGAS, NV 89146-5307
Phone: (725) 204-7742 Fax:
Mailing address
2835 S JONES BLVD # 3
LAS VEGAS, NV 89146-5307
Phone: (725) 204-7742 Fax:
Organization Subpart
No
Authorized Official
JESSE LEROY CISNEROS
CEO
Phone: (702) 980-4426
Updated
Certification Date
Oct 24, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.