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Andrew Pudjowargono, OD
NPI 1285120311 · Optometrist · Las Vegas, NV
Andrew Pudjowargono, OD is a Optometrist provider in Las Vegas, NV (NPI 1285120311).
Provider details
- NPI number
- 1285120311
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- 980 (NV)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2021 N Rainbow Blvd Ste 100
Las Vegas, NV 89108-7098
Phone: (702) 452-2020
Street-level locationGet directions
Mailing address
46 Penmarric Place
Toronto, ONTARIO 146
Registry dates
- Enumerated
- 2018-07-01
- Last updated
- 2018-07-01
Frequently asked questions
- What is Andrew Pudjowargono's NPI number?
- Andrew Pudjowargono's National Provider Identifier (NPI) is 1285120311, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Andrew Pudjowargono's specialty?
- Andrew Pudjowargono is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Andrew Pudjowargono located?
- Andrew Pudjowargono's practice location on file with NPPES is 2021 N Rainbow Blvd Ste 100, Las Vegas, NV 89108-7098.
- What is Andrew Pudjowargono's phone number?
- The practice phone number listed in the NPPES registry for Andrew Pudjowargono is (702) 452-2020.
- Is Andrew Pudjowargono's NPI active?
- Yes — Andrew Pudjowargono's NPI (1285120311) is active in the NPPES registry as of the last update on 2018-07-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.