DR. JONATHAN BALAGOT DIZON (NPI# 1629578836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629578836 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN BALAGOT DIZON |
| Credential | O.D. |
| Practice Address |
4160 S Durango Dr Las Vegas NV 89147 |
| Mailing Address |
222 Karen Ave Unit 3507 Las Vegas NV 89109-5308 |
| Practice Telephone | 7027322020 |
| Mailing Telephone | 5628961798 |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2019-02-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1006 | NV | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 33887TLG | CA | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3740 Park Blvd Apt 512, San Diego, CA 921030918 | 5628961798 | |
| 4160 S Durango Dr, Las Vegas, NV 89147 | 7027322020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821551755 | Jonathan Dizon | Student in an Organized Health Care Education/Training Program | 420 W Watkins Rd, Phoenix, AZ 85003-2830 | 2019-04-08 |
| 1922442938 | Jonathan Guerrero Dizon | Emergency Medicine | 1900 Pine St, Abilene, TX 79601-2432 | 2013-04-20 |
| Street Address |
4160 S DURANGO DR |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619593621 | Ata Group Lv | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 10170 W Tropicana Ave Ste 156-211, Las Vegas, NV 89147 | 2020-06-25 |
| 1104474022 | Jacklyn Siagatonu | Behavior Technician | 7125 Grand Montecito Parkway, Las Vegas Nv, N Las Vegas, NV 89147 | 2019-09-04 |
| 1700388253 | Pr Acquisition Corporation | Clinic/Center | 9892 W Flamingo Road, Las Vegas, NV 89147 | 2018-03-01 |
| 1346751526 | Ignite Teen Treatment, LLC | Clinic/Center | 3722 Lone Mesa Dr, Las Vegas, NV 89147 | 2017-10-16 |
| 1306365275 | Diversified Behavioral Health Services LLC | Community/Behavioral Health | 9636 W.cherokee Ave, Las Vegas, NV 89147 | 2017-09-12 |
| 1356874713 | A8a Personal Care Solution LLC | In Home Supportive Care | 8879 West Flamingo, Ste 101, Las Vegas, NV 89147 | 2017-04-04 |
| 1154782191 | Ma Leah Roble Maravillas | Behavioral Analyst | 9999 W Katie Ave Suite 1313, Las Vegas, NV 89147 | 2016-03-18 |
| 1285010959 | Samantha Lauren Pope | Specialist | 9353 W. Twain Ave, Apt 113, Las Vegas, NV 89147 | 2015-08-05 |
| 1215311980 | Daniel Dorado | Marriage & Family Therapist | 9848 Gallo Dr, Las Vegas, NV 89147 | 2015-07-13 |
| 1154725851 | Rosemary Wilson-melton | Behavioral Analyst | 7400 W Flamingo Rd #1079, Las Vegas, NV 89147 | 2014-10-09 |
| Find all providers in zip 89147 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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] |
| 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 | ||||
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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.