Individual provider Active NPI

Rene L Zamora, MD

  • Ophthalmology Physician
  • Henderson, NV
National Provider Identifier
1417942285
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
9576 Issued in NV
Practice address
1505 Wigwam Pkwy Ste 100
Henderson, NV 89074-8195
Phone
(702) 896-6043
Fax
(702) 896-9591
NPI assigned
Sep 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 9576 NV Primary

Addresses

Primary practice location

1505 Wigwam Pkwy Ste 100
Henderson, NV 89074-8195

Mailing address

1505 Wigwam Pkwy Ste 100
Henderson, NV 89074-8195
Phone (702) 896-6043

Other practice location 1

2020 Wellness Way Ste 401
Las Vegas, NV 89106-4145
Phone (702) 896-6043

Other identifiers 1

IdentifierTypeStateIssuer
1417942285MedicaidNV

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070426000274 NV Practitioner - Ophthalmology 2567462443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Washington University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shepherd Eye Center LTDGroup PAC ID 9234125907, 42 clinicians

Practice addresses (Care Compare)

1505 Wigwam Pkwy
Suite 100
Henderson, NV 89074-8195
Phone (702) 896-6043

Merit-based Incentive Payment System (MIPS)

Final score
83.99 of 100Reported as group
Quality
82.33
Improvement activities
40
Cost
79.02

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Shepherd Eye Center, LTD Ophthalmology CurrentSince Sep 28, 2020 Accepting new patients
Shepherd Eye Center, LTD Ophthalmology CurrentSince Sep 28, 2020 Accepting new patients
Florida Hospital Dade City Inc Past Accepting new patients
Renown Regional Medical Center Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients

Locations

1627 Boulder City Pkwy
Boulder City, NV 89005
Phone (702) 294-2227

50 S Stephanie St
Ste 101
Henderson, NV 89012

1505 Wigwam Pkwy
Ste 100
Henderson, NV 89074
Phone 70289660431563

2598 Windmill Pkwy
Henderson, NV 89074
Phone 7027327709244

6850 N Durango Dr
Ste 104
Las Vegas, NV 89149

2020 Wellness Way
Ste 401
Las Vegas, NV 89106
Phone (702) 380-1059

9100 W Post Rd
Las Vegas, NV 89148
Phone (702) 255-6665

3575 Pecos McLeod
Las Vegas, NV 89121
Phone (512) 314-1612

6850 N Durango Dr
Ste 404
Las Vegas, NV 89149
Phone (702) 731-2088

61 N Willow St
Ste 2
Mesquite, NV 89027
Phone (702) 346-3031

3610 S Nevada Highway 160
Ste 204
Pahrump, NV 89048
Phone (775) 363-9900

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1417942285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 WIGWAM PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890748195",
            "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": "1505 WIGWAM PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890748195",
            "telephone_number": "702-896-6043",
            "fax_number": "702-896-9591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 Wellness Way Ste 401",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891064145",
            "country_code": "US",
            "telephone_number": "702-896-6043",
            "fax_number": "702-896-9591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAMORA",
        "first_name": "RENE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "9576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417942285",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.