Individual provider Active NPI

Robert D. Hillstead, O.D.

  • Optometrist
  • Mesquite, NV
National Provider Identifier
1497811467
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
261 Issued in NV
Practice address
840 Pinnacle CT Ste 10a
Mesquite, NV 89027-3304
Phone
(702) 346-1994
Fax
(702) 346-2056
NPI assigned
Dec 27, 2006
Last updated
Apr 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 261 NV Primary

Addresses

Primary practice location

840 Pinnacle CT Ste 10a
Mesquite, NV 89027-3304

Mailing address

840 Pinnacle CT Ste 10a
Mesquite, NV 89027-3304
Phone (702) 346-1994

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
I20071130000013 NV Practitioner - Optometry 6800985722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

840 Pinnacle CT
Suite 10a
Mesquite, NV 89027-3304
Phone (702) 346-1994

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
261NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert D. Hillstead, Inc Optometrist CurrentSince May 1, 1998 Accepting new patients
Desert Pain Specialists, LLC PastSince Nov 14, 2007 Accepting new patients

Locations

1110 W Pioneer Blvd
Mesquite, NV 89027
Phone (702) 346-1399

840 Pinnacle Ct
Ste 102
Mesquite, NV 89027
Phone (702) 346-1994

840 Pinnacle Ct
Ste 10A
Mesquite, NV 89027
Phone (702) 346-1994

Organizations & group practices 2

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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1497811467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 PINNACLE CT STE 10A",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890273304",
            "telephone_number": "702-346-1994",
            "fax_number": "702-346-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 PINNACLE CT STE 10A",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890273304",
            "telephone_number": "702-346-1994",
            "fax_number": "702-346-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLSTEAD",
        "first_name": "ROBERT",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, NV

Sources for this page

Verify at the official NPI Registry.