Organization Active NPI

Progressive Eyecare

  • Optometrist
  • North Las Vegas, NV
National Provider Identifier
1265734958
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NV20041610778 Issued in NV
Legal business name
PROGRESSIVE EYECARE
Practice address
1513 W Craig Rd
Ste 1
North Las Vegas, NV 89032-0234
Phone
(702) 368-2021
Fax
(702) 368-2023
NPI assigned
Dec 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Authorized official

Name
Dr. Kant NG, ODNPI 1275660557
Title
Optometrist
Phone
(702) 368-2021

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 NV20041610778 NV Primary

Addresses

Primary practice location

1513 W Craig Rd
Ste 1
North Las Vegas, NV 89032-0234

Mailing address

1513 W Craig Rd
Ste 1
North Las Vegas, NV 89032-0234
Phone (702) 368-2021

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110511000687 NV Part B Supplier - Clinic/Group Practice 8820274616 Receives reassigned benefits from 7 practitioners
Practice locations: North Las Vegas, NV; Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

4100 Blue Diamond Rd
Las Vegas, NV 89139
Phone (702) 266-8049

1513 W Craig Rd
Ste 1
North Las Vegas, NV 89032
Phone (702) 368-2021

Practitioners & affiliated clinicians

Practitioners 7

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": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1265734958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 W CRAIG RD",
            "address_2": "STE 1",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890320234",
            "telephone_number": "702-368-2021",
            "fax_number": "702-368-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 W CRAIG RD",
            "address_2": "STE 1",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890320234",
            "telephone_number": "702-368-2021",
            "fax_number": "702-368-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "NG",
        "authorized_official_first_name": "KANT",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "702-368-2021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "NV20041610778",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 1, 2010; 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.