NPIMap

Organization Active NPI

Erika Duggan

  • Optometrist
  • Henderson, NV
National Provider Identifier
1194760454
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
230 Issued in NV
Legal business name
ERIKA DUGGAN
Practice address
10120 S Eastern Ave
Suite 165
Henderson, NV 89052-3951
Phone
(702) 456-9585
Fax
(702) 456-0011
NPI assigned
Jun 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Authorized official

Name
Dr. Erika J Duggan, O.D.NPI 1790738870
Title
President
Phone
(702) 456-9585

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 230 NV Primary

Addresses

Primary practice location

10120 S Eastern Ave
Suite 165
Henderson, NV 89052-3951

Mailing address

10120 S Eastern Ave
Suite 165
Henderson, NV 89052-3951
Phone (702) 456-9585

Other identifiers 1

IdentifierTypeStateIssuer
11552105OtherCAQH

National Provider Directory

National Provider Directory
Tax ID family
Erika Duggan2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 6

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": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1194760454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10120 S EASTERN AVE",
            "address_2": "SUITE 165",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523951",
            "telephone_number": "702-456-9585",
            "fax_number": "702-456-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10120 S EASTERN AVE",
            "address_2": "SUITE 165",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523951",
            "telephone_number": "702-456-9585",
            "fax_number": "702-456-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIKA DUGGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-456-9585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11552105",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.