Organization Active NPI

Dynamic Eye Care

  • Optometrist
  • North Las Vegas, NV
National Provider Identifier
1265692826
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
506 Issued in NV
Legal business name
DYNAMIC EYE CARE
Practice address
6935 Aliante Pkwy
Suite 102
North Las Vegas, NV 89084-5818
Phone
(702) 685-4320
Fax
(702) 685-4583
NPI assigned
Jun 16, 2008
Last updated
Aug 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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

Authorized official

Name
Dr. Suzanne Tran, O.D.
Title
Owner
Phone
(714) 553-1826

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 506 NV Primary

Addresses

Primary practice location

6935 Aliante Pkwy
Suite 102
North Las Vegas, NV 89084-5818

Mailing address

6935 Aliante Pkwy
Suite 102
North Las Vegas, NV 89084-5818
Phone (702) 685-4320

Other identifiers 1

IdentifierTypeStateIssuer
AV098OtherNVPTAN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249948800000",
    "number": "1265692826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6935 ALIANTE PKWY",
            "address_2": "SUITE 102",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890845818",
            "telephone_number": "702-685-4320",
            "fax_number": "702-685-4583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6935 ALIANTE PKWY",
            "address_2": "SUITE 102",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890845818",
            "telephone_number": "702-685-4320",
            "fax_number": "702-685-4583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2009-08-11",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-553-1826",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "AV098",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; 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.