Individual provider Active NPI

Larry Ciprian Perez, OD

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1508054719
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
616 Issued in NV
Practice address
7290 Arroyo Crossing Pkwy
#160
Las Vegas, NV 89113
Phone
(702) 451-3937
Fax
(702) 451-2010
NPI assigned
Oct 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2623 CO
Optometrist 152W00000X 616 NV Primary

Addresses

Primary practice location

7290 Arroyo Crossing Pkwy
#160
Las Vegas, NV 89113

Mailing address

7290 Arroyo Crossing Pkwy
#160
Las Vegas, NV 89113
Phone (702) 451-3937

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
I20090603000568 NV Practitioner - Optometry 7416007919 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Optic Gallery Arroyo LLCGroup PAC ID 6709059892, 2 clinicians
Chen Kuo Young O D IncGroup PAC ID 9537280060, 7 clinicians

Practice addresses (Care Compare)

7290 Arroyo Crossing Pkwy
Suite 160
Las Vegas, NV 89113-4067
Phone (702) 451-3936

8880 W Charleston Blvd
Las Vegas, NV 89117-5454
Phone (702) 938-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2623COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optic Gallery Arroyo LLC Optometrist CurrentSince Oct 1, 2011 Accepting new patients
Chen Kuo Young, OD. Inc. Optometrist CurrentSince Feb 4, 2024 Accepting new patients
Nicole Yontz OD, PC Optometrist Past Accepting new patients

Locations

7290 Arroyo Crossing Pkwy
Ste 160
Las Vegas, NV 89113
Phone (702) 451-3936

8880 W Charleston Blvd
Las Vegas, NV 89117
Phone (702) 938-2020

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216598400000",
    "number": "1508054719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7290 ARROYO CROSSING PKWY",
            "address_2": "#160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89113",
            "telephone_number": "702-451-3937",
            "fax_number": "702-451-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7290 ARROYO CROSSING PKWY",
            "address_2": "#160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89113",
            "telephone_number": "702-451-3937",
            "fax_number": "702-451-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "LARRY",
        "middle_name": "CIPRIAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-12",
        "last_updated": "2008-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2623",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.