Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Phoenix Vision LLC

Organization Family Medicine Physician · NPI 1518789247

Phoenix Vision LLC provides Family Medicine Physician services 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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