Individual provider Active NPI

Braden James Sorensen, OD

  • Optometrist
  • Henderson, NV
National Provider Identifier
1346989977
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1129 Issued in NV
Practice address
680 S Green Valley Pkwy Ste 120
Henderson, NV 89052-0438
Phone
(702) 889-3937
NPI assigned
Jun 1, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1129 NV Primary

Addresses

Primary practice location

680 S Green Valley Pkwy Ste 120
Henderson, NV 89052-0438

Mailing address

680 S Green Valley Pkwy Ste 120
Henderson, NV 89052-0438
Phone (702) 889-3937

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
I20220623002602 NV Practitioner - Optometry 6002295912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henderson Vision Care LLCGroup PAC ID 9931440898, 4 clinicians

Practice addresses (Care Compare)

680 S Green Valley Pkwy
Suite 120
Henderson, NV 89052-0438
Phone (702) 737-0003

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1129NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson Vision Care LLC Optometrist CurrentSince Jun 1, 2022 Accepting new patients
Braden Sorensen OD PLLC Optometrist Current Accepting new patients

Locations

680 S Green Valley Pkwy
Ste 120
Henderson, NV 89052
Phone (702) 737-0003

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1346989977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S GREEN VALLEY PKWY STE 120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890520438",
            "telephone_number": "702-889-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 S GREEN VALLEY PKWY STE 120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890520438",
            "telephone_number": "702-889-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORENSEN",
        "first_name": "BRADEN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "1129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.