DR. MICHAEL L. PERNULA (NPI# 1598064909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598064909 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL L. PERNULA |
| Credential | M.D. |
| Practice Address |
5871 W. Craig Rd. Las Vegas NV 89130-2575 |
| Mailing Address |
5840 W. Craig Rd. Ste. 120 Pmb# 254 Las Vegas NV 89130-2562 |
| Practice Telephone | 7027242020 |
| Practice Fax Number | 7027242800 |
| Mailing Telephone | 7027242020 |
| Mailing Fax Number | 7027242800 |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2015-08-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 15879 | NV | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1598064909 | 05 |
| Street Address |
5871 W. CRAIG RD. |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89130-2575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619957081 | Eva I Liang | Ophthalmology | 5871 W. Craig Rd., Las Vegas, NV 89130-2575 | 2006-01-20 |
| 1457703340 | Tina Licina | Optometrist | 5871 W. Craig Rd., Las Vegas, NV 89130 | 2016-07-05 |
| 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 | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265084073 | Trinoveon Corporation | Ophthalmology | 2700 Las Vegas Blvd S Unit 4105, Las Vegas, NV 89109-1174 | 2019-07-11 |
| 1558825687 | Eyecare Associates | Ophthalmology | 2010 Festival Plaza Dr Ste 195, Las Vegas, NV 89135-1455 | 2019-01-23 |
| 1164800827 | Tigran Kostanyan | Ophthalmology | 2110 E Flamingo Rd Ste 210, Las Vegas, NV 89119-5193 | 2015-05-14 |
| 1003251950 | Matthew Swanic M.d., Pllc | Ophthalmology | 9555 S Eastern Ave Ste 250, Las Vegas, NV 89123-8008 | 2013-05-06 |
| 1487914099 | Mazeyar Saboori | Ophthalmology | 5556 S Fort Apache Rd, Las Vegas, NV 89148-7696 | 2012-05-17 |
| 1417214313 | Wonchon Lin | Ophthalmology | 5380 S Rainbow Blvd Ste 108, Las Vegas, NV 89118-1878 | 2012-04-16 |
| 1679839690 | Janice E Eggert Md Ltd | Ophthalmology | 1771 E Flamingo Rd Ste 214a, Las Vegas, NV 89119-0850 | 2012-04-03 |
| 1497023105 | Leslie M Sims Md Pllc | Ophthalmology | 9360 W Flamingo Rd Ste 110, Las Vegas, NV 89147-6446 | 2011-12-08 |
| 1528299377 | Nelson Nerveza Lopez | Ophthalmology | 3100 W Charleston Blvd Ste 204, Las Vegas, NV 89102-1996 | 2009-07-28 |
| 1578791372 | Tyson S.j. Ward | Ophthalmology | 6980 Smoke Ranch Rd Ste 110, Las Vegas, NV 89128-8606 | 2009-06-30 |
| 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.