Individual provider Active NPI

Nair Enid Borges, OD

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1154590263
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
615 Issued in NV
Practice address
8880 W. Charleston Blvd.
Las Vegas, NV 89117-5454
Phone
(702) 938-2020
Fax
(702) 938-2034
NPI assigned
Feb 22, 2008
Last updated
Mar 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2636 CO
Optometrist 152W00000X 615 NV Primary

Addresses

Primary practice location

8880 W. Charleston Blvd.
Las Vegas, NV 89117-5454

Mailing address

8880 W. Charleston Blvd.
Las Vegas, NV 89117-5454
Phone (702) 938-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190706000301 NV Practitioner - Optometry 4688909153 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Optic Gallery Arroyo LLCGroup PAC ID 6709059892, 2 clinicians
Chen Kuo Young O D IncGroup PAC ID 9537280060, 7 clinicians

Practice addresses (Care Compare)

7290 Arroyo Crossing Pkwy
Suite 160
Las Vegas, NV 89113-4067
Phone (702) 451-3936

8880 W Charleston Blvd
Las Vegas, NV 89117-5454
Phone (702) 938-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2636COMDClinical Psychologist
615NVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optic Gallery Arroyo LLC Optometrist CurrentSince Jul 31, 2024 Accepting new patients
Chen Kuo Young, OD. Inc. Optometrist CurrentSince Jun 1, 2019 Accepting new patients
Consolidated Vision Group Past Accepting new patients
Nicole Yontz OD, PC Optometrist PastSince Jul 31, 2024 Accepting new patients

Locations

7290 Arroyo Crossing Pkwy
Ste 160
Las Vegas, NV 89113
Phone (702) 451-3936

8880 W Charleston Blvd
Las Vegas, NV 89117
Phone (702) 938-2020

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1154590263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8880 W. CHARLESTON BLVD.",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175454",
            "telephone_number": "702-938-2020",
            "fax_number": "702-938-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8880 W. CHARLESTON BLVD.",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175454",
            "telephone_number": "702-938-2020",
            "fax_number": "702-938-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGES",
        "first_name": "NAIR",
        "middle_name": "ENID",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-22",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2636",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.