NPIMap

Organization Active NPI

Retina Consultants of Nevada LLP

  • Ophthalmology Physician
  • Las Vegas, NV
National Provider Identifier
1093387532
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
RETINA CONSULTANTS OF NEVADA LLP
Practice address
2020 Wellness Way Ste 402
Las Vegas, NV 89106-4145
Phone
(702) 485-5000
Fax
(702) 485-5001
NPI assigned
Jul 14, 2021
Last updated
Jan 3, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
RETINA CONSULTANTS OF NEVADA LLPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Authorized official

Name
Sheli Marie Crabtree
Title
Senior Credentialing Manager
Phone
(512) 314-1613

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X NU

Addresses

Primary practice location

2020 Wellness Way Ste 402
Las Vegas, NV 89106-4145

Mailing address

2020 Wellness Way Ste 402
Las Vegas, NV 89106-4145
Phone (702) 485-5000

Other practice location 1

8352 W Warm Springs Rd Ste 130
Las Vegas, NV 89113-3629
Phone (702) 485-5000

Other practice location 2

7305 S Pecos Rd Ste 101
Las Vegas, NV 89120-3701
Phone (702) 485-5000

Other practice location 3

10105 Banburry Cross Dr Ste 255
Las Vegas, NV 89144-6648
Phone (702) 485-5000

Other practice location 4

6850 N Durango Dr Ste 106
Las Vegas, NV 89149-4596
Phone (702) 485-5000

Other identifiers 1

IdentifierTypeStateIssuer
1093387532MedicaidNV

Other names 1

  • NEW EYES Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040324000678 NV Part B Supplier - Clinic/Group Practice 5193616449 Receives reassigned benefits from 16 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Reno, NV; Mesquite, NV; Las Vegas, NV; Henderson, NV; Carson City, NV; Boulder City, NV

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Retina Consultants of Nevada LLP4 organizations share this tax ID, including this one
Part of
Retina Consultants of Nevada LLP

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2845 Siena Heights Dr
Ste 300
Henderson, NV 89052
Phone (702) 492-4896

710 Coronado Center Dr
Ste 201
Henderson, NV 89052

3006 S Maryland Pkwy
Ste 710
Las Vegas, NV 89109

6850 N Durango Dr
Ste 418
Las Vegas, NV 89149

3640 S Nevada Highway 160
Ste 101
Pahrump, NV 89048

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1093387532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 WELLNESS WAY STE 402",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064145",
            "telephone_number": "702-485-5000",
            "fax_number": "702-485-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 WELLNESS WAY STE 402",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064145",
            "telephone_number": "702-485-5000",
            "fax_number": "702-485-5001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8352 W Warm Springs Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891133629",
            "country_code": "US",
            "telephone_number": "702-485-5000",
            "fax_number": "702-485-5001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7305 S Pecos Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891203701",
            "country_code": "US",
            "telephone_number": "702-485-5000",
            "fax_number": "702-485-5001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10105 Banburry Cross Dr Ste 255",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891446648",
            "country_code": "US",
            "telephone_number": "702-485-5000",
            "fax_number": "702-485-5001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6850 N Durango Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891494596",
            "country_code": "US",
            "telephone_number": "702-485-5000",
            "fax_number": "702-485-5001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RETINA CONSULTANTS OF NEVADA LLP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RETINA CONSULTANTS OF NEVADA LLP",
        "enumeration_date": "2021-07-14",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "CRABTREE",
        "authorized_official_first_name": "SHELI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SENIOR CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "512-314-1613"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093387532",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW EYES",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "NEW EYES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.