TINA LICINA (NPI# 1457703340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457703340 |
| Entity Type | Individual |
| Full Name | TINA LICINA |
| Credential | O.D. |
| Practice Address |
5871 W. Craig Rd. Las Vegas NV 89130 |
| Mailing Address |
5840 W. Craig Rd. Ste. 120 Pmb 254 Las Vegas NV 89130 |
| Practice Telephone | 7027242020 |
| Practice Fax Number | 7027242800 |
| Mailing Telephone | (702) 724-2020 |
| Mailing Fax Number | 7024055541 |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 915 | NV | Eye and Vision Services Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3350 La Jolla Village Dr, San Diego, CA 921610002 | 8585528585 |
| Street Address |
5871 W. CRAIG RD. |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619957081 | Eva I Liang | Ophthalmology | 5871 W. Craig Rd., Las Vegas, NV 89130-2575 | 2006-01-20 |
| 1598064909 | Michael L. Pernula | Ophthalmology | 5871 W. Craig Rd., Las Vegas, NV 89130-2575 | 2011-03-24 |
| 1326240144 | Libby K Kristal | Ophthalmology | 5871 W. Craig Rd., Las Vegas, NV 89130-2575 | 2007-06-04 |
| 1427187301 | Ruben F Salinas-garcia | Ophthalmology | 5871 W. Craig Rd., Las Vegas, NV 89130-2575 | 2007-03-05 |
| 1083672539 | Jeffrey L. Hart | Ophthalmology | 5871 W. Craig Rd., Las Vegas, NV 89130-2575 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295374031 | Mindworks Behavioral Health & Medical Center | Clinic/Center | 7495 W. Azure Dr., Ste. 240, Las Vegas, NV 89130 | 2019-12-26 |
| 1669033833 | Doran Gaston | Behavioral Analyst | 3560 N Rancho Dr., Suite 109, Las Vegas, NV 89130 | 2019-06-27 |
| 1700447547 | Lakeisha Lloved | Behavioral Analyst | 3650 N Ranch Dr., Suite 109, Las Vegas, NV 89130 | 2019-06-24 |
| 1952962797 | Dana Lloved | Behavioral Analyst | 5650 N. Rancho Dr., 109, Las Vegas, NV 89130 | 2019-06-24 |
| 1316501596 | Positively Therapy | Counselor | 5071 N Rainbow Blvd #170, Las Vegas, NV 89130 | 2019-04-23 |
| 1427518356 | Rebecca Aragon | Behavioral Analyst | 5803 West Craig Road, Las Vegas, NV 89130 | 2019-03-25 |
| 1568929198 | Clear Choice Therapeutic Center, LLC | Community/Behavioral Health | 4079 North Rancho Drive, Suite 160, Las Vegas, NV 89130 | 2019-03-01 |
| 1699239095 | Jennifer Lee Kearns | Rehabilitation Practitioner | 3680 N Racho Drive, Las Vegas, NV 89130 | 2019-01-30 |
| 1730651852 | Sunrise Adult Day Care | Clinic/Center | 3930 Leon Ave #130, Las Vegas, NV 89130 | 2018-12-31 |
| 1376015685 | Sunrise Adult Day Care | Clinic/Center | 3930 Leon Ave Suite # 130, Las Vegas, NV 89130 | 2018-12-27 |
| Find all providers in zip 89130 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558972331 | Shirlene Jade Luu | Optometrist | 4343 N Rancho Dr Ste 116, Las Vegas, NV 89130-3421 | 2020-08-13 |
| 1831709104 | Jenny Wong | Optometrist | 9260 W Sunset Rd Ste 209, Las Vegas, NV 89148-4903 | 2020-08-03 |
| 1245853407 | Dana Vo Od, Ltd | Optometrist | 3900 Spring Mountain Rd Ste 1, Las Vegas, NV 89102-8650 | 2020-05-22 |
| 1841838331 | Vision Consultants | Optometrist | 660 S Martin Luther King Blvd, Las Vegas, NV 89106-4413 | 2019-12-15 |
| 1073156824 | Beena Mangalbhai Patel | Optometrist | 9484 W Flamingo Rd Ste 280, Las Vegas, NV 89147-5746 | 2019-10-24 |
| 1437706934 | Sirintr/suk Pllc | Optometrist | 6085 S Fort Apache Rd Ste 120-130, Las Vegas, NV 89148-5545 | 2019-08-20 |
| 1922668102 | Brian Bijan Nasser | Optometrist | 230 N Nellis Blvd Ste B, Las Vegas, NV 89110-6003 | 2019-06-19 |
| 1477113207 | Linda C Davis | Optometrist | 4840 E Bonanza Rd Ste 6, Las Vegas, NV 89110-3453 | 2019-06-14 |
| 1346805157 | Civia Mccaffrey O.d. P.C. | Optometrist | 900 S Pavilion Center Dr Ste 140, Las Vegas, NV 89144-4583 | 2019-05-07 |
| 1356800932 | Nevada Optical and Eye Care | Optometrist | 840 S Rancho Dr Ste 1, Las Vegas, NV 89106-3803 | 2019-03-13 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.