Individual provider Active NPI

Joseph Lao, O.D.

  • Optometrist
  • Henderson, NV
National Provider Identifier
1083044333
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
796 Issued in NV
Practice address
543 N Stephanie St Ste 110
Henderson, NV 89014-6613
Phone
(702) 888-1079
Fax
(702) 333-1016
NPI assigned
Nov 23, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD 60423883 WA
Optometrist 152W00000X 14844 CA
Optometrist 152W00000X 796 NV Primary

Addresses

Primary practice location

543 N Stephanie St Ste 110
Henderson, NV 89014-6613

Mailing address

7910 Lookout Rock Cir
Las Vegas, NV 89129-5365
Phone (702) 538-3335

Other practice location 1

3195 Saint Rose Pkwy
Ste 100
Henderson, NV 89052-3501
Phone (702) 634-2020

Other practice location 2

3195 Saint Rose Pkwy
Ste 100
Henderson, NV 89052-3501
Phone (702) 634-2020

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
I20180202001135 NV Practitioner - Optometry 4486885803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roger Paez OD CharteredGroup PAC ID 5193787885, 2 clinicians

Practice addresses (Care Compare)

5905 S Eastern Ave
Suite 101
Las Vegas, NV 89119-3130
Phone (702) 893-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
796NVMDOptometrist
OD 60423883WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Roger Paez O.D. Chartered Optometrist CurrentSince Apr 16, 2022 Accepting new patients
Amplify Medical PC Optometrist CurrentSince Jan 1, 2022 Accepting new patients
Optic Gallery Seven Hills LLC Optometrist PastSince Sep 6, 2014 Accepting new patients

Locations

16816 Clark Ave
Bellflower, CA 90706
Phone (310) 925-6591

5905 S Eastern Ave
Ste 101
Las Vegas, NV 89119
Phone (702) 893-3937

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": "1385164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1083044333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 LOOKOUT ROCK CIR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891295365",
            "telephone_number": "702-538-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 N STEPHANIE ST STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146613",
            "telephone_number": "702-888-1079",
            "fax_number": "702-333-1016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3195 Saint Rose Pkwy",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890523501",
            "country_code": "US",
            "telephone_number": "702-634-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3195 Saint Rose Pkwy",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890523501",
            "country_code": "US",
            "telephone_number": "702-634-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAO",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD 60423883",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14844",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.