Organization Active NPI

Robert D. Hillstead, Inc

  • Optometrist
  • Mesquite, NV
National Provider Identifier
1073702841
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
261 Issued in NV
Legal business name
ROBERT D. HILLSTEAD, INC
Practice address
840 Pinnacle CT Ste 10a
Mesquite, NV 89027-3304
Phone
(702) 346-1994
Fax
(702) 346-2056
NPI assigned
Oct 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Authorized official

Name
Dr. Robert D. Hillstead, O.D.NPI 1497811467
Title
President
Phone
(702) 346-1994

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 261 NV Primary

Addresses

Primary practice location

840 Pinnacle CT Ste 10a
Mesquite, NV 89027-3304

Mailing address

840 Pinnacle CT Ste 10a
Mesquite, NV 89027-3304
Phone (702) 346-1994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071226000490 NV Part B Supplier - Clinic/Group Practice 6002906369 Receives reassigned benefits from 1 practitioner
Practice locations: Mesquite, NV
O20201214001570 NV DME Supplier - Physician - Optometrist 6002906369 Practice locations: Mesquite, NV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Robertd Hillstead Inc840 Pinnacle CT, Mesquite, NV 89027-3304(702) 346-1994 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Nov 14, 2007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Locations

1110 W Pioneer Blvd
Mesquite, NV 89027
Phone (702) 346-1399

840 Pinnacle Ct
Ste 10A
Mesquite, NV 89027
Phone (702) 346-1994

840 Pinnacle Ct
Ste 102
Mesquite, NV 89027
Phone (702) 346-1994

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1073702841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 PINNACLE CT STE 10A",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890273304",
            "telephone_number": "702-346-1994",
            "fax_number": "702-346-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 PINNACLE CT STE 10A",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890273304",
            "telephone_number": "702-346-1994",
            "fax_number": "702-346-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT D. HILLSTEAD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "HILLSTEAD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-346-1994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.