Active NPI
James Lloyd Keller, O.D.
- Optometrist
- Las Vegas, NV
National Provider Identifier
1508034323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 174
- Practice address
- 4517 W. Sahara Ave, Las Vegas, NV 89102
Las Vegas, NV 89102 - Phone
- (702) 489-5464
- NPI assigned
- Feb 14, 2008
- 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 | 174 | NV | Primary |
Addresses
Primary practice location
4517 W. Sahara Ave, Las Vegas, NV 89102
Las Vegas, NV 89102
Mailing address
4517 W. Sahara, Las Vegas, NV 89102
Las Vegas, NV 89102
Phone (702) 489-5464
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 174 | NV | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563840000000",
"number": "1508034323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4517 W. SAHARA, LAS VEGAS, NV 89102",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89102",
"telephone_number": "702-489-5464",
"fax_number": "702-826-4889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4517 W. SAHARA AVE, LAS VEGAS, NV 89102",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89102",
"telephone_number": "702-489-5464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "JAMES",
"middle_name": "LLOYD",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-14",
"last_updated": "2019-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NV",
"license": "174",
"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 Jul 23, 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.