Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phoenix Vision LLC

Organization Family Medicine Physician · NPI 1518789247

Phoenix Vision LLC is a Family Medicine Physician in Las Vegas, Nevada. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2835 S Jones Blvd
Las Vegas, NV 89146-5307
Phone: (725) 204-7742
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1518789247
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jesse Leroy Cisneros — Ceo · (702) 980-4426
Other names Evolve Bodymd
NPI enumeratedOctober 24, 2024
Last updated in NPPESOctober 24, 2024
Certification dateOctober 24, 2024
Mailing address2835 S Jones Blvd # 3, Las Vegas, NV 89146-5307

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