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MICHAEL VATHANASAYNEE O.D.
NPI 1083810212
Optometrist in N Las Vegas, NV

Active since June 25, 2007PECOS Enrolled
3950 W LAKE MEAD BLVD, N LAS VEGAS, NV 89032(702) 737-2020 Get Directions Write a Review

NPPES record last updated: December 13, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michael Vathanasaynee O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL VATHANASAYNEE O.D. (NPI 1083810212) is an individual optometrist in N Las Vegas, Nevada, licensed in Nevada (609) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083810212
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMICHAEL VATHANASAYNEECredential: O.D.
Location Address3950 W LAKE MEAD BLVDN Las Vegas, NV 89032-4895
Mailing Address11714 Longworth RdLas Vegas, NV 89135-1322 · (714) 926-4384
Phone(702) 737-2020
Sole ProprietorNo
Enumeration DateJune 25, 2007
Last NPPES UpdateDecember 13, 2012
✔ NPI 1083810212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in NV · 609✔ Licensed in IL · 046009940
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.
3950 W LAKE MEAD BLVD, N Las Vegas, NV 89032
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINV00073IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Vathanasaynee O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Michael Vathanasaynee reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tedder Optometric Clinic Management, P.C.
194 mi
Optometrist
17064 SLOVER AVE STE 104
Fontana, CA 92337
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Tedder Optometric Clinic Management, PC
  • 10 clinicians in this Medicare group
NPI 1851091805 (909) 258-4620
Tedder Optometric Corporation, PC
228 mi
Optometrist
23625 EL TORO RD STE E
Lake Forest, CA 92630
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Hansra Optometric Corporation
  • 34 clinicians in this Medicare group
NPI 1679262158 (949) 227-2524

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOA NGUYEN PHARMD
Pharmacist
3950 W LAKE MEAD BLVD
NORTH LAS VEGAS, NV 89032
Clark County (702) 631-6806
WALMART INC.
Pharmacy (Community/Retail Pharmacy)
3950 W LAKE MEAD BLVD
NORTH LAS VEGAS, NV 89032
Clark County (702) 631-6806
MICHAEL VATHANASAYNEE, O.D. PROFESSIONAL CORPORATION
Optometrist
3950 W LAKE MEAD BLVD
NORTH LAS VEGAS, NV 89032
Clark County (714) 926-4384
LEAH NEMER PHARM D
Pharmacist
3950 W LAKE MEAD BLVD
NORTH LAS VEGAS, NV 89032
Clark County (702) 631-6806
NICOLE CLARK LDO
Technician/Technologist (Optician)
3950 W LAKE MEAD BLVD
NORTH LAS VEGAS, NV 89032
Clark County (702) 631-8472
DR. JESSICA HUEY PHARMD
Pharmacist
3950 W LAKE MEAD BLVD
NORTH LAS VEGAS, NV 89032
Clark County (702) 631-6806

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Vathanasaynee's NPI number?

The NPI number for Michael Vathanasaynee is 1083810212. It was assigned to this individual provider in the NPPES registry on June 25, 2007.

Where is Michael Vathanasaynee located?

Michael Vathanasaynee practices at 3950 W Lake Mead Blvd, N Las Vegas, NV 89032. The listed phone number is (702) 737-2020.

What is Michael Vathanasaynee's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Michael Vathanasaynee enrolled in Medicare?

Yes. Michael Vathanasaynee is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Vathanasaynee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Vathanasaynee reassigns Medicare benefits to 2 organizations: Tedder Optometric Clinic Management, P.C. (Fontana, CA) and Tedder Optometric Corporation, PC (Lake Forest, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Vathanasaynee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Vathanasaynee accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and BlueCross BlueShield of Tennessee list Michael Vathanasaynee as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Vathanasaynee was last updated on December 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.