Active NPI
Eric Richard Healey
- Optician
- Las Vegas, NV
National Provider Identifier
1053007922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 573
- Practice address
- 3200 Las Vegas Blvd S Ste 1070
Las Vegas, NV 89109-0728 - Phone
- (702) 366-7080
- Fax
- (702) 583-4915
- NPI assigned
- Apr 13, 2023
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 573 | NV | Primary |
Addresses
Primary practice location
3200 Las Vegas Blvd S Ste 1070
Las Vegas, NV 89109-0728
Mailing address
925 Antelope Way
Las Vegas, NV 89145-6109
Phone (702) 678-4225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 573 | NV | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica of America Inc | Current | Accepting new patients |
Locations
3200 Las Vegas Blvd S
Ste 1070
Las Vegas, NV 89109
Phone (702) 366-7080
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": "1681344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681344000000",
"number": "1053007922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 ANTELOPE WAY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891456109",
"telephone_number": "702-678-4225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 LAS VEGAS BLVD S STE 1070",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891090728",
"telephone_number": "702-366-7080",
"fax_number": "702-583-4915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEALEY",
"first_name": "ERIC",
"middle_name": "RICHARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-13",
"last_updated": "2023-04-13",
"certification_date": "2023-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NV",
"license": "573",
"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 Apr 13, 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.