Organization Active NPI

Park Family Eyecare Inc.

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1275715237
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
422 Issued in NV
Legal business name
PARK FAMILY EYECARE INC.
Practice address
5198 Boulder Hwy
Las Vegas, NV 89122-6002
Phone
(702) 434-2020
Fax
(702) 433-2021
NPI assigned
Dec 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Authorized official

Name
Peter Park, O.D.
Title
Owner
Phone
(702) 434-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 422 NV Primary

Addresses

Primary practice location

5198 Boulder Hwy
Las Vegas, NV 89122-6002

Mailing address

5198 Boulder Hwy
Las Vegas, NV 89122-6002

National Provider Directory

National Provider Directory

Locations

5198 Boulder Hwy
Las Vegas, NV 89122
Phone (702) 434-1915

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1275715237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5198 BOULDER HWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891226002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5198 BOULDER HWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891226002",
            "telephone_number": "702-434-2020",
            "fax_number": "702-433-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK FAMILY EYECARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-434-2020",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.