Jacqueline Anne Ecalnir Julio, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1037 Issued in NV

Practice address

6900 N Pecos Rd
North Las Vegas, NV 89086-4400

Phone

(702) 791-9125

Fax

(702) 791-9376

NPI assigned

Jul 6, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shepherd Eye Center LTDGroup PAC ID 9234125907, 42 clinicians

Emma C Vicuna OD LLCGroup PAC ID 0749523132, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.99 of 100Reported as group

Quality

82.33

Improvement activities

40

Cost

79.02

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jjulio@cepnv-sec.emadirect.md
• Direct secure messaging: jacqueline.julio.shepherdeye@direct.eye-care.nextgenshare.com

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

• Emma C Vicuna OD LLC

  • Optometrist
  • Las Vegas, NV
  • NPI 1235613894
  Medicare reassignment Care Compare group NPD
• Shepherd Eye Center, LTD

  • Ophthalmology Physician
  • Las Vegas, NV
  • NPI 1487604054

  Optometrist

  Medicare reassignment Care Compare group NPD
• Long Kevin Diep, Odpc

  • Optometrist
  • Las Vegas, NV
  • NPI 1841542438
  Medicare reassignment NPD
• Spring Mountain Vision, Inc.

  • Optometrist
  • Las Vegas, NV
  • NPI 1932426251
  Medicare reassignment NPD
• Shepherd Eye Center, LTD

  • Ophthalmology Physician
  • Henderson, NV
  • NPI 1568032522

  Optometrist

  NPD
• Victoria M. Lupei, OD, a Professional Corp.

  • Optometrist
  • Las Vegas, NV
  • NPI 1871785964
  NPD
• Centennial Hills Hospital Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1487771812
  NPD (past)
• Desert Springs Hospital

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1154317964
  NPD (past)
• Dignity Health

  • General Acute Care Hospital
  • Henderson, NV
  • NPI 1447393152
  NPD (past)
• Sunrise Mountainview Hospital, Inc.

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1831143817
  NPD (past)
• University Medical Center of Southern Nevada

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1548393127
  NPD (past)

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

{
    "created_epoch": "1562371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1336701788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 BAHAMA POINT AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890310965",
            "telephone_number": "702-292-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 N PECOS RD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890864400",
            "telephone_number": "702-791-9125",
            "fax_number": "702-791-9376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3575 Pecos McLeod",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891213803",
            "country_code": "US",
            "telephone_number": "702-731-2088",
            "fax_number": "702-734-7836",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2475 W Horizon Ridge Pkwy Ste 120",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890525946",
            "country_code": "US",
            "telephone_number": "702-731-2088",
            "fax_number": "702-734-7836",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9100 W Post Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891482418",
            "country_code": "US",
            "telephone_number": "702-731-2088",
            "fax_number": "702-734-7836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JULIO",
        "first_name": "JACQUELINE ANNE",
        "middle_name": "ECALNIR",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-06",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "1037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336701788",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.