Organization Active NPI

Eye Docs of Nevada

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1043084551
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE DOCS OF NEVADA
Practice address
9975 S Eastern Ave Ste 100
Las Vegas, NV 89183-7950
Phone
(702) 573-9471
NPI assigned
Nov 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Authorized official

Name
Peter Park
Title
President
Phone
(702) 573-9471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

9975 S Eastern Ave Ste 100
Las Vegas, NV 89183-7950

Mailing address

2188 Orchard Mist St
Las Vegas, NV 89135-1562
Phone (702) 573-9471

Other practice location 1

4300 Meadows Ln Ste 1260
Las Vegas, NV 89107-3013
Phone (702) 573-9471

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1043084551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2188 ORCHARD MIST ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351562",
            "telephone_number": "702-573-9471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9975 S EASTERN AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837950",
            "telephone_number": "702-573-9471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 Meadows Ln Ste 1260",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891073013",
            "country_code": "US",
            "telephone_number": "702-573-9471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EYE DOCS OF NEVADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-573-9471"
    },
    "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 Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.