Active NPI
Douglas Charles Lorenz, D.O.
- Ophthalmology Physician
- Henderson, NV
National Provider Identifier
1376542431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 411
- Practice address
- 2598 Windmill Pkwy
Henderson, NV 89074-5476 - Phone
- (702) 896-6043
- Fax
- (702) 896-9591
- NPI assigned
- Jul 20, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 411 | NV | Primary |
Addresses
Primary practice location
2598 Windmill Pkwy
Henderson, NV 89074-5476
Mailing address
1505 Wigwam Pkwy
Suite 101 and 102
Henderson, NV 89074
Phone (702) 896-6043
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0020-19604 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manthei Ophthalmology Center, LTD. | Ophthalmology | Past | Accepting new patients |
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.
-
- Ophthalmology Physician
- Henderson, NV
- NPI 1700885399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519344000000",
"number": "1376542431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 WIGWAM PKWY",
"address_2": "SUITE 101 AND 102",
"city": "HENDERSON",
"state": "NV",
"postal_code": "89074",
"telephone_number": "702-896-6043",
"fax_number": "702-896-9591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2598 WINDMILL PKWY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890745476",
"telephone_number": "702-896-6043",
"fax_number": "702-896-9591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LORENZ",
"first_name": "DOUGLAS",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2018-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NV",
"license": "411",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0020-19604",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.