TINA LICINA


Address: 5871 W. Craig Rd., Las Vegas, NV 89130
Phone: 7027242020

TINA LICINA (NPI# 1457703340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
3350 La Jolla Village Dr, San Diego, CA 921610002 8585528585

Office Location

Street Address 5871 W. CRAIG RD.
City LAS VEGAS
State NV
Zip Code 89130

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City LAS VEGAS
Zip Code 89130

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Dataset Information

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.

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