Individual provider Active NPI

Beena Patel

  • Optometrist
  • Carson City, NV
National Provider Identifier
1073156824
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1043 Issued in NV
Practice address
1987 N Carson St Ste 5
Carson City, NV 89701-1225
Phone
(775) 883-2015
NPI assigned
Oct 24, 2019
Last updated
Aug 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1043 NV Primary

Addresses

Primary practice location

1987 N Carson St Ste 5
Carson City, NV 89701-1225

Mailing address

1987 N Carson St Ste 5
Carson City, NV 89701-1225

Other practice location 1

1701 County Rd Ste Q
Minden, NV 89423-4465
Phone (775) 782-3937

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
I20200107003351 NV Practitioner - Optometry 3971937541 Reassigns benefits to 3 organizations

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
Group practices
Shannon R. Chandler, CorpGroup PAC ID 8628174364, 4 clinicians
Tamara Gutierrez LLCGroup PAC ID 3476645037, 3 clinicians

Practice addresses (Care Compare)

3962 Blue Diamond Rd
Suite 105
Las Vegas, NV 89139-7795
Phone (702) 791-6860

7775 S Rainbow Blvd
Suite 110
Las Vegas, NV 89139-6473
Phone (702) 648-1515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1043NVMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Tamara Gutierrez, LLC Optometrist CurrentSince Sep 26, 2020 Accepting new patients
Shannon R. Chandler, Corp Optometrist CurrentSince Jun 6, 2023 Accepting new patients
Gammoh Premier Vision LLC Optometrist CurrentSince Jan 2, 2026 Accepting new patients
Visionworks, Inc PastSince Jun 6, 2023 Accepting new patients

Locations

3962 Blue Diamond Rd
Ste 105
Las Vegas, NV 89139
Phone (702) 260-4127

556 N Eastern Ave
Ste A
Las Vegas, NV 89101
Phone (702) 385-7900

7775 S Rainbow Blvd
Ste 110
Las Vegas, NV 89139
Phone (702) 648-1515

3445 W Craig Rd
Ste A
North Las Vegas, NV 89032
Phone (702) 840-2020

Organizations & group practices 4

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": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1073156824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1987 N CARSON ST STE 5",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897011225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1987 N CARSON ST STE 5",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897011225",
            "telephone_number": "775-883-2015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 County Rd Ste Q",
            "address_purpose": "LOCATION",
            "city": "Minden",
            "state": "NV",
            "postal_code": "894234465",
            "country_code": "US",
            "telephone_number": "775-782-3937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "BEENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "1043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.