Organization Active NPI

Signature Vision Care Inc

  • Optometrist
  • Henderson, NV
National Provider Identifier
1326625351
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SIGNATURE VISION CARE INC
Practice address
681 Mall Ring Cir
Henderson, NV 89014-6619
Phone
(702) 489-2020
NPI assigned
Mar 25, 2021
Last updated
Mar 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Authorized official

Name
Allison Garcia
Title
Office Manager
Phone
(702) 489-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

681 Mall Ring Cir
Henderson, NV 89014-6619

Mailing address

681 Mall Ring Cir
Henderson, NV 89014-6619
Phone (702) 489-2020

Other identifiers 1

IdentifierTypeStateIssuer
1467596361MedicaidNV

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL practicefusion.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210408001988 NV Part B Supplier - Clinic/Group Practice 6608284708 Receives reassigned benefits from 1 practitioner
Practice locations: Henderson, NV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1616630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1326625351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 MALL RING CIR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146619",
            "telephone_number": "702-489-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 MALL RING CIR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146619",
            "telephone_number": "702-489-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE VISION CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "702-489-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467596361",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "EHR System",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "681 Mall Ring Cir",
            "city": "Henderson",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890146619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 25, 2021; 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.