Organization Active NPI

Glimpse of Vegas Inc.

Doing business as Glimpse Medical

  • Non-Pharmacy Dispensing Site
  • Henderson, NV
National Provider Identifier
1104190370
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
GLIMPSE OF VEGAS INC.
Doing business as
Glimpse Medical
Practice address
10170 S Eastern Ave
Suite 100
Henderson, NV 89052-3968
Phone
(702) 405-5660
NPI assigned
Mar 5, 2012
Last updated
Mar 6, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
GLIMPSE OF VEGAS INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Authorized official

Name
Dr. Jill Oliver, M.D.
Title
Owner
Phone
(702) 405-5660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X NU Primary

Addresses

Primary practice location

10170 S Eastern Ave
Suite 100
Henderson, NV 89052-3968

Mailing address

2980 N Beverly Glen Cir
Suite 301
Los Angeles, CA 90077-1726
Phone (310) 474-9809

Other names 1

  • Glimpse Medical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Glimpse of Vegas Inc2 organizations share this tax ID, including this one
Part of
Glimpse of Vegas Inc

Other organizations with this tax ID 1

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

Locations

10170 S Eastern Ave
Ste 100
Henderson, NV 89052
Phone (702) 405-5660

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1104190370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10170 S EASTERN AVE",
            "address_2": "SUITE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523968",
            "telephone_number": "702-405-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLIMPSE OF VEGAS INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GLIMPSE OF VEGAS INC.",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-405-5660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glimpse Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 6, 2012; 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.