Organization Active NPI

Mark W. Doubrava M.D. Dba Eye Care for Nevada

  • Cornea and External Diseases Specialist Physician
  • Las Vegas, NV
National Provider Identifier
1083375596
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cornea and External Diseases Specialist PhysicianTaxonomy code 207WX0120X
Legal business name
MARK W. DOUBRAVA M.D. DBA EYE CARE FOR NEVADA
Practice address
9011 W Sahara Ave Ste 101
Las Vegas, NV 89117-4801
Phone
(702) 794-2020
Fax
(702) 732-4108
NPI assigned
Jan 6, 2022
Organization subpart
Yes
Parent organization
MARK W. DOUBRAVA M.D.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Authorized official

Name
Melissa W Long
Title
Biller
Phone
(702) 794-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cornea and External Diseases Specialist PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0120X Primary

Addresses

Primary practice location

9011 W Sahara Ave Ste 101
Las Vegas, NV 89117-4801

Mailing address

9011 W Sahara Ave Ste 101
Las Vegas, NV 89117-4801
Phone (702) 794-2020

Other names 1

  • EYE CARE FOR NEVADA Doing business as

National Provider Directory

National Provider Directory
Part of
Mark W Doubrava MD Dba Eye Care for Nevada

Practitioners & affiliated clinicians

Practitioners 2

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": "1641427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1083375596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9011 W SAHARA AVE STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891174801",
            "telephone_number": "702-794-2020",
            "fax_number": "702-732-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9011 W SAHARA AVE STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891174801",
            "telephone_number": "702-794-2020",
            "fax_number": "702-732-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK W. DOUBRAVA M.D. DBA EYE CARE FOR NEVADA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARK W. DOUBRAVA M.D.",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "702-794-2020"
    },
    "taxonomies": [
        {
            "code": "207WX0120X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYE CARE FOR NEVADA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.