Active NPI
Vistech Optical
- Optometrist
- Las Vegas, NV
National Provider Identifier
1013826072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- VISTECH OPTICAL
- Practice address
- 5191 W Charleston Blvd Ste 175
Las Vegas, NV 89146-1455 - Phone
- (702) 506-6637
- NPI assigned
- Sep 4, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samuel Madrid
- Title
- Owner
- Phone
- (702) 405-0744
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
5191 W Charleston Blvd Ste 175
Las Vegas, NV 89146-1455
Mailing address
5191 W Charleston Blvd Ste 175
Las Vegas, NV 89146-1455
Phone (702) 506-6637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788480000000",
"number": "1013826072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5191 W CHARLESTON BLVD STE 175",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891461455",
"telephone_number": "702-506-6637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5191 W CHARLESTON BLVD STE 175",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891461455",
"telephone_number": "702-506-6637"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISTECH OPTICAL",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-04",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A",
"authorized_official_last_name": "MADRID",
"authorized_official_first_name": "SAMUEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-405-0744"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.