Individual provider Active NPI

Erin Frillarte, O.D.

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1417212481
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
768 Issued in NV
Practice address
9560 W Skye Canyon Park Dr Ste 180
Las Vegas, NV 89166-6795
Phone
(702) 872-2020
Fax
(702) 443-9022
NPI assigned
Jul 5, 2012
Last updated
Jul 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1865 AZ
Optometrist 152W00000X 768 NV Primary

Addresses

Primary practice location

9560 W Skye Canyon Park Dr Ste 180
Las Vegas, NV 89166-6795

Mailing address

9560 W Skye Canyon Park Dr Ste 180
Las Vegas, NV 89166-6795
Phone (702) 872-2020

Other practice location 1

6620 N Durango Dr
Las Vegas, NV 89149-4430
Phone (702) 227-2020

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
I20131209000843 NV Practitioner - Optometry 1456588995 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9560 W Skye Canyon Park Dr
Suite 180
Las Vegas, NV 89166-6795
Phone (702) 872-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1865AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optic Gallery Skye Canyon LLC Optometrist CurrentSince May 1, 2024 Accepting new patients
Optic Gallery Centennial Inc Optometrist CurrentSince Nov 29, 2016 Accepting new patients

Locations

9560 W Skye Canyon Park Dr
Ste 180
Las Vegas, NV 89166
Phone (702) 872-2020

5705 Centennial Center Blvd
Ste 150
Las Vegas, NV 89149
Phone (702) 868-2020

6620 N Durango Dr
Las Vegas, NV 89149
Phone (702) 227-2020

Organizations & group practices 3

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": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1417212481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9560 W SKYE CANYON PARK DR STE 180",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891666795",
            "telephone_number": "702-872-2020",
            "fax_number": "702-443-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9560 W SKYE CANYON PARK DR STE 180",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891666795",
            "telephone_number": "702-872-2020",
            "fax_number": "702-443-9022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6620 N Durango Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891494430",
            "country_code": "US",
            "telephone_number": "702-227-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRILLARTE",
        "first_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-05",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1865",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.