Active NPI
Vision Center IV LLC
- Optometrist
- Las Vegas, NV
National Provider Identifier
1194062588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 294
- Legal business name
- VISION CENTER IV LLC
- Practice address
- 6455 S Rainbow Blvd
Las Vegas, NV 89118-3215 - Phone
- (702) 254-6222
- Fax
- (702) 341-9541
- NPI assigned
- Jan 7, 2013
- Reactivated
- Feb 28, 2023
- Last updated
- Feb 28, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christopher Chiodo, OD
- Title
- Owner
- Phone
- (702) 254-6222
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 294 | NV | Primary |
Addresses
Primary practice location
6455 S Rainbow Blvd
Las Vegas, NV 89118-3215
Mailing address
6455 S Rainbow Blvd
Las Vegas, NV 89118-3215
Phone (702) 254-6222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6455 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 254-6222
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Occupational Vision Optometrist
- Las Vegas, NV
- NPI 1750435921
-
- Optometrist
- Las Vegas, NV
- NPI 1821769407
-
- Optometrist
- Las Vegas, NV
- NPI 1316560246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677542400000",
"number": "1194062588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6455 S RAINBOW BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891183215",
"telephone_number": "702-254-6222",
"fax_number": "702-341-9541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6455 S RAINBOW BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891183215",
"telephone_number": "702-254-6222",
"fax_number": "702-341-9541"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISION CENTER IV LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-07",
"last_updated": "2023-02-28",
"certification_date": "2023-02-28",
"deactivation_date": "2023-02-01",
"reactivation_date": "2023-02-28",
"status": "A",
"authorized_official_last_name": "CHIODO",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-254-6222",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NV",
"license": "294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 28, 2023; 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.