Active NPI
Signature Vision Care Inc
- Optometrist
- Henderson, NV
National Provider Identifier
1326625351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467596361 | Medicaid | NV |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | practicefusion.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Optometrist
- Henderson, NV
- NPI 1467596361
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.