Individual provider Active NPI

Rhett L Dadej, O.D.

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1073603957
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
402 Issued in NV
Practice address
7105 N Durango Dr
Las Vegas, NV 89149-4466
Phone
(702) 651-2020
Fax
(702) 651-2099
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 402 NV Primary

Addresses

Primary practice location

7105 N Durango Dr
Las Vegas, NV 89149-4466

Mailing address

7105 N Durango Dr
Las Vegas, NV 89149-4466
Phone (702) 651-2020

Other identifiers 1

IdentifierTypeStateIssuer
002502545MedicaidNV

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
I20050927000850 NV Practitioner - Optometry 0244265460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Dadej and Ohriner LTDGroup PAC ID 3476630369, 2 clinicians

Practice addresses (Care Compare)

7105 N Durango Dr
Las Vegas, NV 89149-4466
Phone (702) 651-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
402NVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dadej & Ohriner, LTD Optometrist CurrentSince Jan 1, 2008 Accepting new patients
Dadej & Ohriner, LTD Optometrist Current Accepting new patients
Harvey Ohriner OD LTD Optometrist PastSince Aug 10, 2015 Accepting new patients

Locations

61 E Lake Mead Pkwy
Henderson, NV 89015
Phone (702) 565-0555

7105 N Durango Dr
Ste 100
Las Vegas, NV 89149

7105 N Durango Dr
Las Vegas, NV 89149
Phone (702) 651-2020

Organizations & group practices 3

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1073603957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7105 N DURANGO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494466",
            "telephone_number": "702-651-2020",
            "fax_number": "702-651-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7105 N DURANGO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494466",
            "telephone_number": "702-651-2020",
            "fax_number": "702-651-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DADEJ",
        "first_name": "RHETT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002502545",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.