Individual provider Active NPI

Spencer Quinton, O.D.

  • Optometrist
  • Henderson, NV
National Provider Identifier
1356425847
Registry record updated Nov 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
362 Issued in NV
Practice address
305 N Pecos Rd
Suite a
Henderson, NV 89074-1351
Phone
(702) 938-0320
Fax
(702) 737-0321
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 362 NV Primary

Addresses

Primary practice location

305 N Pecos Rd
Suite a
Henderson, NV 89074-1351

Mailing address

305 N Pecos Rd
Suite a
Henderson, NV 89074-1351
Phone (702) 938-0320

Other identifiers 1

IdentifierTypeStateIssuer
11041548OtherNVCAQH PROVIDER ID NUMBER

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
I20101021000519 NV Practitioner - Optometry 3476514050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1999
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

Merit-based Incentive Payment System (MIPS)

Final score
7.5 of 100Reported as individual
Quality
15
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson Vision Care LLC Optometrist CurrentSince Jun 1, 2019 Accepting new patients

Locations

305 N Pecos Rd
Ste A
Henderson, NV 89074
Phone (702) 737-0003

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

Organizations & group practices 1

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509926400000",
    "number": "1356425847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N PECOS RD",
            "address_2": "SUITE A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741351",
            "telephone_number": "702-938-0320",
            "fax_number": "702-737-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N PECOS RD",
            "address_2": "SUITE A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741351",
            "telephone_number": "702-938-0320",
            "fax_number": "702-737-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTON",
        "first_name": "SPENCER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2017-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID NUMBER",
            "identifier": "11041548",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.