Individual provider Active NPI

Kenneth Dang, OD, MS

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1457244162
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1226 Issued in NV
Practice address
3575 Pecos McLeod
Las Vegas, NV 89121-3803
Phone
(702) 731-2088
NPI assigned
Jun 2, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1226 NV Primary

Addresses

Primary practice location

3575 Pecos McLeod
Las Vegas, NV 89121-3803

Mailing address

10170 W Tropicana Ave Ste 156-291
Las Vegas, NV 89147-8465
Phone (781) 222-4160

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
I20250714003966 NV Practitioner - Optometry 9931614468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2022
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)

6850 N Durango Dr
Suite 106
Las Vegas, NV 89149-4596
Phone (702) 485-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Shepherd Eye Center, LTD Optometrist CurrentSince Jul 1, 2025 Accepting new patients
Shepherd Eye Center, LTD Optometrist CurrentSince Jul 1, 2025 Accepting new patients
Healthcare Partners Medical Group (Coats) LTD. Past Accepting new patients

Locations

2850 W Horizon Ridge Pkwy
Ste 300
Henderson, NV 89052
Phone (702) 202-4776

2475 W Horizon Ridge Pkwy
Ste 120
Henderson, NV 89052
Phone (702) 731-2088

2100 N Rampart Blvd
Las Vegas, NV 89128
Phone (702) 731-2088

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

6850 N Durango Dr
Ste 106
Las Vegas, NV 89149

Interoperability endpoints

  • Direct secure messaging: kenneth.dang.p1@direct.eye-care.nextgenshare.com
  • Direct secure messaging: kdang@cepnv-sec.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1457244162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10170 W TROPICANA AVE STE 156-291",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478465",
            "telephone_number": "781-222-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 PECOS MCLEOD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213803",
            "telephone_number": "702-731-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANG",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "OD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "1226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.