Individual provider Active NPI

Kant NG, O.D.

  • Optometrist
  • North Las Vegas, NV
National Provider Identifier
1275660557
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
503 Issued in NV
Practice address
1513 W Craig Rd
Ste 1
North Las Vegas, NV 89032-0234
Phone
(702) 368-2021
Fax
(702) 368-2023
NPI assigned
Feb 27, 2007
Last updated
Dec 1, 2010By the provider in NPPES
Sex
Male
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 503 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
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110511000728 NV Practitioner - Optometry 9739365529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive EyecareGroup PAC ID 8820274616, 5 clinicians

Practice addresses (Care Compare)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
503NVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Eyecare Optometrist CurrentSince Oct 1, 2004 Accepting new patients

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

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1275660557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 W CRAIG RD 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": {
        "last_name": "NG",
        "first_name": "KANT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.