KRISTIN DIFUNTORUM OD
NPI 1407465057
Optometrist in Las Vegas, NV

Q: What is Kristin Difuntorum's NPI number?

The NPI number for Kristin Difuntorum is 1407465057. It was assigned to this individual provider in the NPPES registry on July 29, 2020.

Q: What is Kristin Difuntorum's specialty?

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

Active since July 29, 2020PECOS Enrolled

230 N NELLIS BLVD STE B, LAS VEGAS, NV 89110(702) 360-8070 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 17, 2020, Jul 29, 2020 (2 updates tracked since 2020).

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About Kristin Difuntorum Od NPPES

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

KRISTIN DIFUNTORUM OD (NPI 1407465057) is an individual optometrist in Las Vegas, Nevada, licensed in Nevada (1072) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407465057

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameKRISTIN DIFUNTORUMCredential: OD

Location Address230 N NELLIS BLVD STE BLas Vegas, NV 89110-6003

Mailing Address333 Santa Fe StLas Vegas, NV 89145-5327

Phone(702) 360-8070

Sole ProprietorNo

Enumeration DateJuly 29, 2020

Last NPPES UpdateNovember 17, 20202 updates tracked since enumeration

NPPES CertifiedNovember 17, 2020

✔ NPI 1407465057 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 · 1072

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.

230 N NELLIS BLVD STE B, Las Vegas, NV 89110

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristin Difuntorum Od 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89110 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 2

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

DR. BRIAN BIJAN NASSER OD

Optometrist

230 N NELLIS BLVD STE B
LAS VEGAS, NV 89110

Clark County (702) 735-2020

JENNA FARRAR OD

Optometrist

230 N NELLIS BLVD STE B
LAS VEGAS, NV 89110

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 Kristin Difuntorum's NPI number?

The NPI number for Kristin Difuntorum is 1407465057. It was assigned to this individual provider in the NPPES registry on July 29, 2020.

Where is Kristin Difuntorum located?

Kristin Difuntorum practices at 230 N Nellis Blvd Ste B, Las Vegas, NV 89110. The listed phone number is (702) 360-8070.

What is Kristin Difuntorum's specialty?

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

Is Kristin Difuntorum enrolled in Medicare?

Yes. Kristin Difuntorum is registered in the Medicare PECOS enrollment system.

What insurance does Kristin Difuntorum accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Providence Health Plan list Kristin Difuntorum 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 Kristin Difuntorum was last updated on November 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.