Erin Coleen O'Brien, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.010196 Issued in IL

Practice address

7361 W Lake Mead Blvd
104
Las Vegas, NV 89128-1040

Phone

(702) 341-7254

Fax

(702) 255-5795

NPI assigned

Aug 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Gammoh Premier Vision LLC

  • Optometrist
  • Las Vegas, NV
  • NPI 1528304458
  Medicare reassignment NPD
• Doug Streifel LLC

  • Optometrist
  • Omaha, NE
  • NPI 1710249172

  NV

  Medicare reassignment NPD
• Vision Recovery Center Inc

  • Optometrist
  • Las Vegas, NV
  • NPI 1043714900
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387756800000",
    "number": "1417063066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7361 W LAKE MEAD BLVD",
            "address_2": "104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281040",
            "telephone_number": "702-341-7254",
            "fax_number": "702-255-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7361 W LAKE MEAD BLVD",
            "address_2": "104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281040",
            "telephone_number": "702-341-7254",
            "fax_number": "702-255-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "ERIN",
        "middle_name": "COLEEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2013-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5598",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.010196",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "NV 752",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "4242821",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• O.P.U.S. Behavioral Health LLC
• Jazmin O'Bannon
• Cassandra Marie O'Boyle, LMSW
• Mutya C. O'Boyle, P.T.
• Christine Marie O'Brien, APRN
• Gina O'Brien
• Hope O'Brien
• Jason O'Brien
• Leslie Sue O'Brien
• Lisa O'Brien

• Optometrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.