Individual provider Active NPI

Richard Eusebio, O.D

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1427465608
Registry record updated Aug 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
801 Issued in NV
Practice address
5060 S Fort Apache Rd Ste 150
Las Vegas, NV 89148
Phone
(702) 586-5222
NPI assigned
Jul 19, 2014
Last updated
Aug 10, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 801 NV Primary

Addresses

Primary practice location

5060 S Fort Apache Rd Ste 150
Las Vegas, NV 89148

Mailing address

5060 S Fort Apache Rd Ste 150
Las Vegas, NV 89148-1716
Phone (702) 586-5222

Other practice location 1

7361 W Lake Mead Blvd
#104
Las Vegas, NV 89128-1057
Phone (702) 733-6764

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
I20141030002283 NV Practitioner - Optometry 4981825189 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10170 W Tropicana Ave
Las Vegas, NV 89147-8465
Phone (702) 873-2121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
801NVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optic Gallery Hualapai LLC Optometrist CurrentSince Sep 23, 2025 Accepting new patients
Eyedentity Eye Care LLC Optometrist PastSince Jun 1, 2007 Accepting new patients

Locations

10170 W Tropicana Ave
Ste 153
Las Vegas, NV 89147
Phone (702) 873-2121

5060 S Fort Apache Rd
Ste 150
Las Vegas, NV 89148
Phone (702) 586-5222

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": "1405728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565395200000",
    "number": "1427465608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5060 S FORT APACHE RD STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481716",
            "telephone_number": "702-586-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 S FORT APACHE RD STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89148",
            "telephone_number": "702-586-5222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7361 W Lake Mead Blvd",
            "address_2": "#104",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891281057",
            "country_code": "US",
            "telephone_number": "702-733-6764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EUSEBIO",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-19",
        "last_updated": "2019-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.