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

Dr. Andrew Pudjowargono, OD

Individual provider Optometrist · NPI 1285120311

Dr. Andrew Pudjowargono, OD is an Optometrist in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2018.

Licensed in
NV
In the registry since
2018
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

2021 N Rainbow Blvd Ste 100
Las Vegas, NV 89108-7098
Phone: (702) 452-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 980 (NV)

Record details

NPI number1285120311
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 1, 2018
Last updated in NPPESJuly 1, 2018

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