Individual provider Active NPI

Tamara Gutierrez, O.D.

  • Occupational Vision Optometrist
  • Las Vegas, NV
National Provider Identifier
1396809927
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Vision OptometristTaxonomy code 152WX0102X
License
NV484 Issued in NV
Practice address
3300 E Flamingo Rd Ste 20
Las Vegas, NV 89121-4398
Phone
(702) 434-9919
Fax
(702) 319-2156
NPI assigned
Dec 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Vision Optometrist 152WX0102X NV484 NV Primary

Addresses

Primary practice location

3300 E Flamingo Rd Ste 20
Las Vegas, NV 89121-4398

Mailing address

2429 Amoretti St
Henderson, NV 89052-5757
Phone (702) 270-0926

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
I20060223000790 NV Practitioner - Optometry 7618983941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tamara Gutierrez LLCGroup PAC ID 3476645037, 3 clinicians

Practice addresses (Care Compare)

7775 S Rainbow Blvd
Suite 110
Las Vegas, NV 89139-6473
Phone (702) 648-1515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
484NVMDMarriage & Family Therapist
NV484NVMDOccupational Vision Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tamara Gutierrez, LLC Optometrist CurrentSince Jul 30, 2007 Accepting new patients

Locations

3300 E Flamingo Rd
Ste 20
Las Vegas, NV 89121
Phone (702) 434-9919

7775 S Rainbow Blvd
Ste 110
Las Vegas, NV 89139
Phone (702) 648-1515

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396809927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2429 AMORETTI ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525757",
            "telephone_number": "702-270-0926",
            "fax_number": "702-270-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 E FLAMINGO RD STE 20",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891214398",
            "telephone_number": "702-434-9919",
            "fax_number": "702-319-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "TAMARA",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "NV",
            "license": "NV484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.