Active NPI
Michael Gene Mayer, O.D.
- Optometrist
- Henderson, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 499
- Practice address
- 62 N Pecos Rd Ste C
Henderson, NV 89074-7336 - Phone
- (702) 818-3100
- NPI assigned
- May 17, 2006
- Last updated
- Sep 13, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 499 | 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) 818-3100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043252025 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1320 E Pebble Rd
Suite 100
Las Vegas, NV 89123-3113
Phone (702) 818-3100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 499 | NV | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faccinto and Mayer Eye Care P.C. | Optometrist | Current | Accepting new patients |
Locations
62 N Pecos Rd
Ste C
Henderson, NV 89074
Phone (702) 433-3355
1320 E Pebble Rd
Ste 100
Las Vegas, NV 89123
Phone (702) 616-1905
850 W Empire Mall
Sioux Falls, SD 57106
Phone (605) 361-4348
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726185600000",
"number": "1043262025",
"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": "702-818-3100"
},
{
"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": "702-818-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYER",
"first_name": "MICHAEL",
"middle_name": "GENE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2024-09-13",
"certification_date": "2024-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NV",
"license": "499",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1043252025",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
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; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.