Active NPI
Tina Kosmach, LDO
- Optician
- Henderson, NV
National Provider Identifier
1497232730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 456
- Practice address
- 7330 Eastgate Rd Ste 130
Henderson, NV 89011-4048 - Phone
- (702) 493-3495
- NPI assigned
- Jul 19, 2018
- Last updated
- Jun 11, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 456 | NV | Primary |
Addresses
Primary practice location
7330 Eastgate Rd Ste 130
Henderson, NV 89011-4048
Mailing address
7330 Eastgate Rd Ste 130
Henderson, NV 89011-4048
Phone (702) 463-6373
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CBTR Optical Labs LLC | Optician | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1497232730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7330 EASTGATE RD STE 130",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890114048",
"telephone_number": "702-463-6373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7330 EASTGATE RD STE 130",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890114048",
"telephone_number": "702-493-3495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSMACH",
"first_name": "TINA",
"credential": "LDO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-19",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NV",
"license": "456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.