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DR. ANDREW PUDJOWARGONO OD
NPI 1285120311
Optometrist in Las Vegas, NV

Active since July 01, 2018
2021 N RAINBOW BLVD STE 100, LAS VEGAS, NV 89108(702) 452-2020 Get Directions Write a Review

NPPES record last updated: July 1, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Andrew Pudjowargono Od NPPES

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

DR. ANDREW PUDJOWARGONO OD (NPI 1285120311) is an individual optometrist in Las Vegas, Nevada, licensed in Nevada (980) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1285120311
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ANDREW PUDJOWARGONOCredential: OD
Location Address2021 N RAINBOW BLVD STE 100Las Vegas, NV 89108-7098
Mailing Address46 Penmarric PlaceToronto, ONTARIO M1V4E6
Phone(702) 452-2020
Sole ProprietorNo
Enumeration DateJuly 1, 2018
✔ NPI 1285120311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NV · 980
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.
2021 N RAINBOW BLVD STE 100, Las Vegas, NV 89108
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Other Providers at the Same Location NPPES 15

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

QUY-ANH LE-HUYNH
Optometrist
2021 N RAINBOW BLVD STE 100
LAS VEGAS, NV 89108
Clark County (858) 405-4169
JASMINE LOVAN OD
Optometrist
2021 N RAINBOW BLVD STE 100
LAS VEGAS, NV 89108
Clark County (702) 452-2020
MICHAEL NGUYEN
Optometrist
2021 N RAINBOW BLVD STE 100
LAS VEGAS, NV 89108
Clark County (240) 401-6721
DR. TIFFANNY N LAI O.D.
Optometrist
2021 N RAINBOW BLVD STE 100
LAS VEGAS, NV 89108
Clark County (702) 452-2020
MATTHEW VUONG OD
Optometrist
2021 N RAINBOW BLVD STE 100
LAS VEGAS, NV 89108
Clark County (702) 452-2020
AMANDA PAEZ
Student in an Organized Health Care Education/Training Program
2021 N RAINBOW BLVD STE 100
LAS VEGAS, NV 89108
Clark County (702) 452-2020
SABRINA HISHAM ALI OD
Optometrist
2021 N RAINBOW BLVD STE 100
LAS VEGAS, NV 89108
Clark County (702) 452-2020
DR. JASON S WANG OD
Optometrist
2021 N RAINBOW BLVD STE 100
LAS VEGAS, NV 89108
Clark County (702) 452-2020

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 Andrew Pudjowargono's NPI number?

The NPI number for Andrew Pudjowargono is 1285120311. It was assigned to this individual provider in the NPPES registry on July 1, 2018.

Where is Andrew Pudjowargono located?

Andrew Pudjowargono practices at 2021 N Rainbow Blvd Ste 100, Las Vegas, NV 89108. The listed phone number is (702) 452-2020.

What is Andrew Pudjowargono's specialty?

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

When was this NPI record last updated?

The NPPES record for Andrew Pudjowargono was last updated on July 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.