NPIMap

Organization Active NPI

Icarelasvegas

Doing business as Bue Diamond Eye Care

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1164128138
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ICARELASVEGAS
Doing business as
Bue Diamond Eye Care
Practice address
5175 Blue Diamond Rd Ste 120
Las Vegas, NV 89139-7699
Phone
(702) 331-6030
NPI assigned
Feb 1, 2023
Organization subpart
Yes
Parent organization
ICARELASVEGASAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Authorized official

Name
Cintya V Palomares
Title
Office Manager
Phone
(702) 631-4144

Specialties & licenses 1

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

Addresses

Primary practice location

5175 Blue Diamond Rd Ste 120
Las Vegas, NV 89139-7699

Mailing address

5175 Blue Diamond Rd Ste 120
Las Vegas, NV 89139-7699
Phone (702) 331-6030

Other names 1

  • Bue Diamond Eye Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Icare Las Vegas3 organizations share this tax ID, including this one
Part of
Icare Las Vegas

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1164128138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5175 BLUE DIAMOND RD STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891397699",
            "telephone_number": "702-331-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5175 BLUE DIAMOND RD STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891397699",
            "telephone_number": "702-331-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARELASVEGAS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ICARELASVEGAS",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "PALOMARES",
        "authorized_official_first_name": "CINTYA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "702-631-4144"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bue Diamond 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 Feb 1, 2023; 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.