Individual provider Active NPI

Carmen J Schneider, O.D.

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1336392208
Registry record updated Oct 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
623 Issued in NV
Practice address
7664 W Lake Mead Blvd
107
Las Vegas, NV 89128-6645
Phone
(702) 254-6222
Fax
(702) 341-9541
NPI assigned
Oct 23, 2008
Last updated
Oct 23, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 623 NV Primary

Addresses

Primary practice location

7664 W Lake Mead Blvd
107
Las Vegas, NV 89128-6645

Mailing address

7664 W Lake Mead Blvd
107
Las Vegas, NV 89128-6645
Phone (702) 254-6222

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
I20150121001738 NV Practitioner - Optometry 5395069330 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Vision Center LLCGroup PAC ID 1951619857, 3 clinicians
Summerlin Vision Center IncGroup PAC ID 0244227908, 2 clinicians

Practice addresses (Care Compare)

4343 N Rancho Dr
Suite 116
Las Vegas, NV 89130-3421
Phone (702) 656-6144

7664 W Lake Mead Blvd
Suite 107
Las Vegas, NV 89128-6645
Phone (702) 254-6222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Vision Center LLC Optometrist CurrentSince Oct 1, 2020 Accepting new patients

Locations

4343 N Rancho Dr
Ste 116
Las Vegas, NV 89130
Phone (702) 656-6144

Organizations & group practices 2

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": "1224720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224720000000",
    "number": "1336392208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7664 W LAKE MEAD BLVD",
            "address_2": "107",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891286645",
            "telephone_number": "702-254-6222",
            "fax_number": "702-341-9541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7664 W LAKE MEAD BLVD",
            "address_2": "107",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891286645",
            "telephone_number": "702-254-6222",
            "fax_number": "702-341-9541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "CARMEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-23",
        "last_updated": "2008-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.