Organization Active NPI

Steven E. Grant OD PC

  • Optometrist
  • Henderson, NV
National Provider Identifier
1215468582
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
#272 Issued in NV
Legal business name
STEVEN E. GRANT OD PC
Practice address
70 E Horizon Ridge Pkwy Ste 160
Henderson, NV 89002-7937
Phone
(702) 564-7581
NPI assigned
Mar 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Authorized official

Name
Steven E. GrantNPI 1821152604
Title
Owner
Phone
(702) 564-7581

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 #272 NV Primary

Addresses

Primary practice location

70 E Horizon Ridge Pkwy Ste 160
Henderson, NV 89002-7937

Mailing address

70 E Horizon Ridge Pkwy Ste 160
Henderson, NV 89002-7937
Phone (702) 564-7581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170508002608 NV Part B Supplier - Clinic/Group Practice 1557648110 Receives reassigned benefits from 1 practitioner
Practice locations: Henderson, NV

National Provider Directory

National Provider Directory

Locations

70 E Horizon Ridge Pkwy
Ste 160
Henderson, NV 89002
Phone (702) 564-7581

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": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1215468582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 E HORIZON RIDGE PKWY STE 160",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890027937",
            "telephone_number": "702-564-7581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 E HORIZON RIDGE PKWY STE 160",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890027937",
            "telephone_number": "702-564-7581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN E. GRANT OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-27",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-564-7581"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "#272",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 27, 2017; 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.

Verify at the official NPI Registry.