Organization Active NPI

Mark Ohriner OD LTD

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1043244767
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0249 Issued in NV
Legal business name
MARK OHRINER OD LTD
Practice address
4675 W Flamingo Rd
Las Vegas, NV 89103-3701
Phone
(702) 364-1252
Fax
(702) 364-9716
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Authorized official

Name
Jasmine Mills
Title
Administrative Assistant
Phone
(702) 364-1252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 0249 NV Primary

Addresses

Primary practice location

4675 W Flamingo Rd
Las Vegas, NV 89103-3701

Mailing address

4675 W Flamingo Rd
Las Vegas, NV 89103-3701
Phone (702) 364-1252

Other identifiers 1

IdentifierTypeStateIssuer
100510101MedicaidNV

Other names 1

  • Mark Ohriner OD LTD Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1043244767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4675 W FLAMINGO RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033701",
            "telephone_number": "702-364-1252",
            "fax_number": "702-364-9716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4675 W FLAMINGO RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033701",
            "telephone_number": "702-364-1252",
            "fax_number": "702-364-9716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK OHRINER OD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "702-364-1252"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "0249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100510101",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark Ohriner OD LTD",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Mark Ohriner OD LTD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Aug 5, 2021; 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.