Organization Active NPI

Faccinto and Mayer Eye Care P.C.

Doing business as Mayer Eye Care

  • Optometrist
  • Henderson, NV
National Provider Identifier
1003930462
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
499, 500 Issued in NV
Legal business name
FACCINTO AND MAYER EYE CARE P.C.
Doing business as
Mayer Eye Care
Practice address
62 N Pecos Rd Ste C
Henderson, NV 89074-7336
Phone
(702) 370-0673
Fax
(855) 815-9302
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael Gene Mayer, O.D.NPI 1043262025
Title
Director
Phone
(702) 370-0673

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 499, 500 NV Primary

Addresses

Primary practice location

62 N Pecos Rd Ste C
Henderson, NV 89074-7336

Mailing address

62 N Pecos Rd Ste C
Henderson, NV 89074-7336
Phone (702) 370-0673

Other identifiers 1

IdentifierTypeStateIssuer
1003930462MedicaidNV

Other names 1

  • Mayer Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071219000194 NV Part B Supplier - Clinic/Group Practice 6800993304 Receives reassigned benefits from 1 practitioner
Practice locations: Henderson, NV; Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

1312 W Sunset Rd
Henderson, NV 89014
Phone (702) 370-0673

62 N Pecos Rd
Ste C
Henderson, NV 89074
Phone (702) 433-3355

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1003930462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 N PECOS RD STE C",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747336",
            "telephone_number": "702-370-0673",
            "fax_number": "855-815-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 N PECOS RD STE C",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747336",
            "telephone_number": "702-370-0673",
            "fax_number": "855-815-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACCINTO AND MAYER EYE CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-370-0673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "499, 500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003930462",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mayer Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.