Active NPI
Larry Lee Davis, O.D.
- Optometrist
- Las Vegas, NV
National Provider Identifier
1467533182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 203
- Practice address
- 6707 W Charleston Blvd
Suite 1B
Las Vegas, NV 89146-9240 - Phone
- (702) 878-8007
- Fax
- (702) 878-3140
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 203 | NV | Primary |
Addresses
Primary practice location
6707 W Charleston Blvd
Suite 1B
Las Vegas, NV 89146-9240
Mailing address
6707 W Charleston Blvd
Suite 1B
Las Vegas, NV 89146-9240
Phone (702) 878-8007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Invision Eye Center | Optometrist | Current | Accepting new patients |
Locations
6707 W Charleston Blvd
Ste 1B
Las Vegas, NV 89146
Phone (702) 878-8007
Organizations & group practices 1
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.
-
- Optometrist
- Las Vegas, NV
- NPI 1437754496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208131200000",
"number": "1467533182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6707 W CHARLESTON BLVD",
"address_2": "SUITE 1B",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891469240",
"telephone_number": "702-878-8007",
"fax_number": "702-878-3140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6707 W CHARLESTON BLVD",
"address_2": "SUITE 1B",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891469240",
"telephone_number": "702-878-8007",
"fax_number": "702-878-3140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "LARRY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2008-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NV",
"license": "203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.