Vivienne Velasco
Optometrist · Las Vegas, NVNPI 1902844608
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $5,403 of the $6,569 with a category attached, or 82.3%. 24 manufacturers reported payments, led by Alcon at 30.8% of the total. Reporting peaked in 2023 at $2,071 and has fallen 56.9% since, to $892 in 2025. Among optometrist clinicians in NV with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 103 payments — averaging $63.77 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alcon$2K
- Bausch & Lomb Americas Inc.$779
- Shire North American Group Inc$477
- Coopervision Inc.$463
- Sun Pharmaceutical Industries Inc.$388
- Johnson & Johnson Vision Care, Inc.$283
- plus $2K from 18 others
What the payments were for
- Consulting fees$401%
- Travel & lodging$1,06116%
- Food & beverage$5,40382%
- Entertainment$651%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Alcon | 20 | $2,021 |
| Bausch & Lomb Americas Inc. | 11 | $779 |
| Shire North American Group Inc | 8 | $477 |
| Coopervision Inc. | 9 | $463 |
| Sun Pharmaceutical Industries Inc. | 3 | $388 |
| Johnson & Johnson Vision Care, Inc. | 12 | $283 |
| Tarsus Pharmaceuticals, Inc. | 4 | $264 |
| Oyster Point Pharma, Inc. | 4 | $227 |
| Rxsight Inc | 2 | $193 |
| Biotissue Holdings Inc. | 1 | $160 |
| Glaukos Corporation | 1 | $153 |
| AbbVie(2 entities) | 7 | $148 |
| Novartis | 4 | $147 |
| Kala Pharmaceuticals, Inc. | 1 | $125 |
| Apellis Pharmaceuticals, Inc. | 1 | $122 |
| Mallinckrodt Hospital Products Inc. | 1 | $119 |
| Thea Pharma Inc. | 1 | $103 |
| Bausch & Lomb, A Division Of Bausch Health US, LLC | 5 | $88 |
| Derma Sciences, Inc. | 1 | $86 |
| Maculogix, Inc. | 1 | $71 |
| Optos, Inc. | 2 | $65 |
| Sight Sciences, Inc. | 2 | $39 |
| Johnson & Johnson | 1 | $34 |
| Johnson & Johnson Surgical Vision, Inc. | 1 | $16 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- AIR OPTIX$1,331
- XIIDRA$900
- Dailies Aqua Comfort Plus$809
- MIEBO$503
- DAILIES$398
- DAILIES TOTAL1 Multifocal$271
- CEQUA$247
- iDoseTR$153
- ULTRA MULTIFOCAL TORIC$150
- EYSUVIS$125
- TYRVAYA$125
- Syfovre$122
- Rocklatan$120
- ACTHAR$119
- RXSIGHT INJECTOR HANDPIECE$104
- RXSIGHT CONTACT LENS$104
- RXSIGHT LIGHT ADJUSTABLE LENS (RXLAL)$104
- RXSIGHT INJECTOR CARTRIDGE$104
- RXSIGHT LIGHT DELIVERY DEVICE (LDD)$104
- IYUZEH$103
How this compares
$6,569 in reported general payments places this provider in the 95th percentile of 494 optometrist providers in Nevada.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Timolol Maleate | 14 | $37 |
Paid to pharmacies, not to this prescriber.
Other optometrist in Las Vegas
- Eric BrookerLas Vegas$53K
- My VuongLas Vegas$47K
- Chen YoungLas Vegas$46K
- Harlan KopolowLas Vegas$36K
- Jenny WongLas Vegas$34K
- Adam SchwartzLas Vegas$26K
- Lawrence WangLas Vegas$12K
- Brian MillerLas Vegas$11K
- Mark MillerLas Vegas$8K
- Victoria MarLas Vegas$8K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.