Individual provider Active NPI

Pamela NG, OD

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1063074557
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NONE Issued in NV
Practice address
8080 W Tropical Pkwy
Las Vegas, NV 89149-4529
Phone
(702) 451-0098
Fax
(702) 451-0018
NPI assigned
Jul 3, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NONE NV Primary

Addresses

Primary practice location

8080 W Tropical Pkwy
Las Vegas, NV 89149-4529

Mailing address

8080 W Tropical Pkwy
Las Vegas, NV 89149-4529
Phone (702) 451-0098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210105001607 UT Practitioner - Optometry 5597178863 Reassigns benefits to 1 organization
I20240904000815 NV Practitioner - Optometry 5597178863 Practice locations: Las Vegas, NV

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8080 W Tropical Pkwy
Las Vegas, NV 89149-4529
Phone (702) 451-0098

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NONENVMDOptometrist
1049NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Insightful Eyecare Optometrist CurrentSince Jun 24, 2024 Accepting new patients
Rocky MTN Eye Care Associates LC CurrentSince Nov 9, 2020 Accepting new patients

Locations

8080 W Tropical Pkwy
Las Vegas, NV 89149
Phone (702) 451-0098

4400 S 700 E
Ste 100
Salt Lake Cty, UT 84107
Phone (801) 264-4450

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1063074557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 W TROPICAL PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494529",
            "telephone_number": "702-451-0098",
            "fax_number": "702-451-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 W TROPICAL PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494529",
            "telephone_number": "702-451-0098",
            "fax_number": "702-451-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NG",
        "first_name": "PAMELA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2024-02-20",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "NONE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.