Organization Active NPI

Nevada Optical and Publishing Enterprises for Professional LLC

  • Optician
  • Las Vegas, NV
National Provider Identifier
1497824593
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
296 Issued in NV
Legal business name
NEVADA OPTICAL AND PUBLISHING ENTERPRISES FOR PROFESSIONAL LLC
Practice address
2400 W Charleston Blvd Ste D
Las Vegas, NV 89102-2152
Phone
(702) 870-5911
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Authorized official

Name
Mrs. Betty Williams
Title
Manager
Phone
(702) 870-5911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 296 NV Primary

Addresses

Primary practice location

2400 W Charleston Blvd Ste D
Las Vegas, NV 89102-2152

Mailing address

2400 W Charleston Blvd Ste D
Las Vegas, NV 89102-2152

Other identifiers 1

IdentifierTypeStateIssuer
004102572MedicaidNV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1497824593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 W CHARLESTON BLVD STE D",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 W CHARLESTON BLVD STE D",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022152",
            "telephone_number": "702-870-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA OPTICAL AND PUBLISHING ENTERPRISES FOR PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-870-5911",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NV",
            "license": "296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004102572",
            "state": "NV"
        }
    ],
    "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 Dec 4, 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.

Verify at the official NPI Registry.