Individual provider Active NPI

Joseph K. Eng, O.D.

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1063581056
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
461 Issued in NV
Practice address
6005 S Eastern Ave
Suite #100
Las Vegas, NV 89119-3135
Phone
(702) 435-8448
Fax
(702) 435-8438
NPI assigned
Nov 6, 2006
Last updated
Oct 15, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 461 NV Primary

Addresses

Primary practice location

6005 S Eastern Ave
Suite #100
Las Vegas, NV 89119-3135

Mailing address

6005 S Eastern Ave
Suite #100
Las Vegas, NV 89119-3135
Phone (702) 435-8448

Other identifiers 1

IdentifierTypeStateIssuer
002502002MedicaidNV

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080523000210 NV Practitioner - Optometry 1759450216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6005 S Eastern Ave
Suite 100
Las Vegas, NV 89119-3135
Phone (702) 435-8448

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph K. Eng, O.D., P. C. Optometrist CurrentSince Oct 9, 2002 Accepting new patients
Esther H Tan O D and Associates LLC Optometrist PastSince Oct 9, 2002 Accepting new patients

Locations

6005 S Eastern Ave
#100
Las Vegas, NV 89119
Phone (702) 435-8448

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, 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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224028800000",
    "number": "1063581056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 S EASTERN AVE",
            "address_2": "SUITE #100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891193135",
            "telephone_number": "702-435-8448",
            "fax_number": "702-435-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 S EASTERN AVE",
            "address_2": "SUITE #100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891193135",
            "telephone_number": "702-435-8448",
            "fax_number": "702-435-8438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENG",
        "first_name": "JOSEPH",
        "middle_name": "K.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2008-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002502002",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.