Organization Active NPI

Spencer Quinton OD Inc

  • Optometrist
  • Henderson, NV
National Provider Identifier
1083800452
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SPENCER QUINTON OD INC
Practice address
305 N Pecos Rd
Suite a
Henderson, NV 89074-1351
Phone
(702) 983-0320
Fax
(702) 737-0321
NPI assigned
Sep 19, 2007
Last updated
Jan 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Authorized official

Name
Pam Davis
Title
Practice Manager
Phone
(702) 983-0320

Specialties & licenses 1

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

Addresses

Primary practice location

305 N Pecos Rd
Suite a
Henderson, NV 89074-1351

Mailing address

305 N Pecos Rd
Suite a
Henderson, NV 89074-1351
Phone (702) 983-0320

National Provider Directory

National Provider Directory

Locations

305 N Pecos Rd
Ste A
Henderson, NV 89074
Phone (702) 737-0003

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1083800452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N PECOS RD",
            "address_2": "SUITE A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741351",
            "telephone_number": "702-983-0320",
            "fax_number": "702-737-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N PECOS RD",
            "address_2": "SUITE A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741351",
            "telephone_number": "702-983-0320",
            "fax_number": "702-737-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCER QUINTON OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "702-983-0320"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.