Individual provider Active NPI

Alaina Lynn Lavine

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1508206236
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
791 Issued in NV
Practice address
6620 N Durango Dr
Las Vegas, NV 89149-4430
Phone
(702) 227-2020
NPI assigned
Jun 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 791 NV Primary
Optometrist 152W00000X 14618 CA

Addresses

Primary practice location

6620 N Durango Dr
Las Vegas, NV 89149-4430

Mailing address

6620 N Durango Dr
Las Vegas, NV 89149-4430
Phone (702) 227-2020

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
I20141121001599 NV Practitioner - Optometry 5991948135 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Western University of Health Sciences College of Dental Med, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Optic Gallery the District LLCGroup PAC ID 6204124209, 4 clinicians
Optic Gallery Seven Hills LLCGroup PAC ID 9537383260, 4 clinicians

Practice addresses (Care Compare)

2260 Village Walk Dr
Suite 108
Henderson, NV 89052-5689
Phone (702) 871-3937

3195 Saint Rose Pkwy
Suite 100
Henderson, NV 89052-3509
Phone (702) 634-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14618CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optic Gallery Seven Hills LLC Optometrist CurrentSince Mar 3, 2022 Accepting new patients
Dr Stephanie P Lee Corporation Optometrist PastSince Mar 14, 2017 Accepting new patients
Optic Gallery Centennial Inc Optometrist Past Accepting new patients

Locations

3195 Saint Rose Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 634-2020

Organizations & group practices 4

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": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1508206236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 N DURANGO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494430",
            "telephone_number": "702-227-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 N DURANGO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494430",
            "telephone_number": "702-227-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVINE",
        "first_name": "ALAINA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "791",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14618",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.