Individual provider Active NPI

Nelson Nerveza Lopez, D.O.

  • Ophthalmology Physician
  • Las Vegas, NV
National Provider Identifier
1528299377
Registry record updated Sep 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
DO1778 Issued in NV
Practice address
3100 W Charleston Blvd Ste 204
Las Vegas, NV 89102-1996
Phone
(702) 384-2020
Fax
(702) 384-6371
NPI assigned
Jul 28, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X DO1778 NV Primary

Addresses

Primary practice location

3100 W Charleston Blvd Ste 204
Las Vegas, NV 89102-1996

Mailing address

3100 W Charleston Blvd Ste 204
Las Vegas, NV 89102-1996
Phone (702) 384-2020

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160622001759 NV Practitioner - Ophthalmology 3375834377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
College of Osteo Med of the Pacific at Pomona, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shepherd Eye Center LTDGroup PAC ID 9234125907, 42 clinicians

Practice addresses (Care Compare)

1505 Wigwam Pkwy
Suite 100
Henderson, NV 89074-8195
Phone (702) 896-6043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO1778NVMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shepherd Eye Center, LTD Ophthalmology CurrentSince Aug 13, 2025 Accepting new patients
Shepherd Eye Center, LTD Ophthalmology Current Accepting new patients
Shepherd Eye Center, LTD Ophthalmology CurrentSince Aug 13, 2025 Accepting new patients

Locations

2598 Windmill Pkwy
Henderson, NV 89074
Phone 7027327709244

2850 W Horizon Ridge Pkwy
Ste 300
Henderson, NV 89052
Phone (702) 202-4776

1505 Wigwam Pkwy
Ste 100
Henderson, NV 89074
Phone 70289660431563

2020 Wellness Way
Ste 401
Las Vegas, NV 89106
Phone (702) 380-1059

9100 W Post Rd
Las Vegas, NV 89148
Phone (702) 255-6665

3575 Pecos McLeod
Las Vegas, NV 89121
Phone (512) 314-1612

6850 N Durango Dr
Ste 404
Las Vegas, NV 89149
Phone (702) 731-2088

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": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442016000000",
    "number": "1528299377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 W CHARLESTON BLVD STE 204",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021996",
            "telephone_number": "702-384-2020",
            "fax_number": "702-384-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 W CHARLESTON BLVD STE 204",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021996",
            "telephone_number": "702-384-2020",
            "fax_number": "702-384-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "NELSON",
        "middle_name": "NERVEZA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-28",
        "last_updated": "2015-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "DO1778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.