Organization Active NPI

Douglas Orton O D LLC

  • Optometrist
  • Henderson, NV
National Provider Identifier
1447259544
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD282 Issued in NV
Legal business name
DOUGLAS ORTON O D LLC
Doing business as
Douglas Orton, O.D.
Practice address
2598 Windmill Pkwy
Henderson, NV 89074-5476
Phone
(702) 896-6043
Fax
(702) 896-9591
NPI assigned
Jul 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Authorized official

Name
Douglas Orton, OD
Title
Owner
Phone
(702) 896-6043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OD282 NV Primary

Addresses

Primary practice location

2598 Windmill Pkwy
Henderson, NV 89074-5476

Mailing address

2598 Windmill Pkwy
Henderson, NV 89074-5476
Phone (702) 896-6043

Other identifiers 1

IdentifierTypeStateIssuer
100512980MedicaidNV

Other names 1

  • Douglas Orton, O.D. Doing business as

National Provider Directory

National Provider Directory

Locations

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

9455 W Russell Rd
Ste 100
Las Vegas, NV 89148

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1447259544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2598 WINDMILL PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890745476",
            "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": "2598 WINDMILL PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890745476",
            "telephone_number": "702-896-6043",
            "fax_number": "702-896-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS ORTON O D LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "ORTON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-896-6043",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "OD282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100512980",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Douglas Orton, O.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.