NPIMap

Organization Active NPI

Las Vegas Family Eye Care, Todd C. Angell, O.D. LTD

Doing business as Las Vegas Family Eye Care

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1114140399
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LAS VEGAS FAMILY EYE CARE, TODD C. ANGELL, O.D. LTD
Doing business as
Las Vegas Family Eye Care
Practice address
1300 S Eastern Ave
Las Vegas, NV 89104-3902
Phone
(702) 385-2242
Fax
(702) 382-7955
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Authorized official

Name
Dr. Todd Charles Angell, O.D.NPI 1265465306
Title
President
Phone
(702) 385-2242

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1300 S Eastern Ave
Las Vegas, NV 89104-3902

Mailing address

1300 S Eastern Ave
Las Vegas, NV 89104-3902
Phone (702) 385-2242

Other names 1

  • Las Vegas Family Eye Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031216000615 NV Part B Supplier - Clinic/Group Practice 2567369762 Receives reassigned benefits from 6 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

1300 S Eastern Ave
Las Vegas, NV 89104
Phone (702) 385-2242

Practitioners & affiliated clinicians

Practitioners 8

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": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1114140399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043902",
            "telephone_number": "702-385-2242",
            "fax_number": "702-382-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043902",
            "telephone_number": "702-385-2242",
            "fax_number": "702-382-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS VEGAS FAMILY EYE CARE, TODD C. ANGELL, O.D. LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "ANGELL",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-385-2242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Las Vegas Family Eye Care",
            "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 Oct 4, 2011; 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.