Active NPI
Civia McCaffrey, OD, P.C.
Doing business as Summerlin Vision
- Optometrist
- Las Vegas, NV
National Provider Identifier
1346805157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- CIVIA MCCAFFREY, OD, P.C.
- Doing business as
- Summerlin Vision
- Practice address
- 900 S Pavilion Center Dr Ste 140
Las Vegas, NV 89144-4583 - Phone
- (702) 243-8788
- NPI assigned
- May 7, 2019
- 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
- Dr. Civia McCaffrey, OD
- Title
- Optometrist/Owner
- Phone
- (702) 355-9686
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
900 S Pavilion Center Dr Ste 140
Las Vegas, NV 89144-4583
Mailing address
2968 El Camino Rd
Las Vegas, NV 89146-5273
Other names 1
- Summerlin Vision
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.
-
- Optometrist
- Las Vegas, NV
- NPI 1104935972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670371200000",
"number": "1346805157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2968 EL CAMINO RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891465273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 S PAVILION CENTER DR STE 140",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891444583",
"telephone_number": "702-243-8788"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CIVIA MCCAFFREY, OD, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-07",
"last_updated": "2022-12-07",
"certification_date": "2022-12-07",
"status": "A",
"authorized_official_last_name": "MCCAFFREY",
"authorized_official_first_name": "CIVIA",
"authorized_official_title_or_position": "OPTOMETRIST/OWNER",
"authorized_official_telephone_number": "702-355-9686",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Summerlin Vision",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Summerlin Vision",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Dec 7, 2022; 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.