Organization Active NPI

Civia McCaffrey, OD, P.C.

Doing business as Summerlin Vision

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1346805157
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
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

Updated by the provider on Dec 7, 2022

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

Authorized official

Name
Dr. Civia McCaffrey, ODNPI 1104935972
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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190531002060 NV Part B Supplier - Clinic/Group Practice 8729311089 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, 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.

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.

Verify at the official NPI Registry.