Organization Active NPI

Desert Valley Eye Care LLC

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1376904441
Registry record updated Mar 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
630 Issued in NV
Legal business name
DESERT VALLEY EYE CARE LLC
Practice address
8080 W Tropical Pkwy
Las Vegas, NV 89149-4529
Phone
(702) 451-0098
NPI assigned
Mar 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2016

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

Authorized official

Name
Dr. Allen Wong, O.D.NPI 1609024413
Title
Manager
Phone
(702) 451-0098

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 630 NV Primary

Addresses

Primary practice location

8080 W Tropical Pkwy
Las Vegas, NV 89149-4529

Mailing address

8080 W Tropical Pkwy
Las Vegas, NV 89149-4529

National Provider Directory

National Provider Directory

Locations

8080 W Tropical Pkwy
Las Vegas, NV 89149
Phone (702) 451-0098

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": "1458086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1376904441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 W TROPICAL PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 W TROPICAL PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494529",
            "telephone_number": "702-451-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT VALLEY EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-16",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-451-0098",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.