Loan Truc Cao, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1086 Issued in NV

Practice address

3200 Las Vegas Blvd S Ste 1620
Las Vegas, NV 89109-0739

Phone

(702) 732-8233

NPI assigned

Nov 10, 2020

Last updated

Nov 10, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• John Chan O.D. PLLC

  dba Arclight Eye Care

  • Optometrist
  • Henderson, NV
  • NPI 1588295331
  Medicare reassignment NPD

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1154923662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11438 ELMCREST ST",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917321807",
            "telephone_number": "626-898-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 LAS VEGAS BLVD S STE 1620",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891090739",
            "telephone_number": "702-732-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAO",
        "first_name": "LOAN",
        "middle_name": "TRUC",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "1086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Koichi Canzani, BCBA, RBT
• Rachael Canzona, MS, MFT-INTERN
• Yordanka Yuliette Cao Izaguirre
• Guorong Cao
• Huiqing Cao
• Matthew Cao
• Michael Cao, DMD
• Nhan Cao
• Wenqiang Cao, PHARMD
• Yaying Cao

• Optometrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.