Emerald Vision Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EMERALD VISION SERVICES LLC

Practice address

1149 Bobby Basin
Henderson, NV 89104

Phone

(702) 903-1505

NPI assigned

Aug 16, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason Pearson

Title

Ceo

Phone

(702) 903-1505

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1487170049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1149 BOBBY BASIN AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146815",
            "telephone_number": "702-903-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 BOBBY BASIN",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89104",
            "telephone_number": "702-903-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD VISION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-903-1505"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stuart Elzy
• Em Johnson, M.D., PLLC (LV Precision Surgery)
• Alison Emilia Emberton, CHW I
• Brad Emens
• William Emens
• Emergency Medicine Physicians of Clark Pediatrics McCourt, PLLC
• Emergency Medicine Physicians of Clark Pediatrics, PLLC
• Emergency Medicine Physicians of Clark Saint Rose McCourt, PLLC
• Emergency Medicine Physicians of Clark Saint Rose McCourt, PLLC
• Emergency Medicine Physicians of Clark Saint Rose, PLLC

• Community/Behavioral Health Agency in Henderson, NV
• Providers in Henderson, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.