Organization Active NPI

Gammoh Premier Vision LLC

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1528304458
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
716 Issued in NV
Legal business name
GAMMOH PREMIER VISION LLC
Doing business as
Vision Veinte Veinte
Practice address
556 N Eastern Ave Ste a
Las Vegas, NV 89101-3453
Phone
(702) 840-2020
Fax
(702) 385-1116
NPI assigned
Dec 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Authorized official

Name
Dr. Nataly Gammoh, ODNPI 1851668339
Title
Optometrist
Phone
(702) 624-3002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 716 NV Primary

Addresses

Primary practice location

556 N Eastern Ave Ste a
Las Vegas, NV 89101-3453

Mailing address

556 N Eastern Ave Ste a
Las Vegas, NV 89101-3453
Phone (702) 388-9400

Other practice location 1

2645 Saint Rose Pkwy Ste C-110
Henderson, NV 89052-4886
Phone (702) 840-2020

Other practice location 2

805 S Rainbow Blvd
Las Vegas, NV 89145-6238
Phone (702) 840-2020

Other practice location 3

3445 W Craig Rd Ste A
North Las Vegas, NV 89032-5117
Phone (702) 840-2020

Other identifiers 1

IdentifierTypeStateIssuer
1851668339MedicaidNV

Other names 1

  • Vision Veinte Veinte Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141229001332 NV Part B Supplier - Clinic/Group Practice 4880849843 Receives reassigned benefits from 12 practitioners
Practice locations: Henderson, NV; Las Vegas, NV; North Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

2645 Saint Rose Pkwy
Ste C110
Henderson, NV 89052
Phone (702) 840-2020

805 S Rainbow Blvd
Las Vegas, NV 89145
Phone (702) 385-7900

556 N Eastern Ave
Ste A
Las Vegas, NV 89101
Phone (702) 385-7900

3445 W Craig Rd
Ste A
North Las Vegas, NV 89032
Phone (702) 840-2020

1830 Joe Battle Blvd
Ste 101
El Paso, TX 79936
Phone (915) 855-2040

6915 S Zarzamora St
Ste 107B
San Antonio, TX 78224
Phone (210) 251-1398

5545 NW Loop 410
Ste 101
San Antonio, TX 78238
Phone (210) 521-2202

Practitioners & affiliated clinicians

Practitioners 12

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": "1355961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1528304458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 N EASTERN AVE STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891013453",
            "telephone_number": "702-388-9400",
            "fax_number": "702-385-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 N EASTERN AVE STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891013453",
            "telephone_number": "702-840-2020",
            "fax_number": "702-385-1116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2645 Saint Rose Pkwy Ste C-110",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890524886",
            "country_code": "US",
            "telephone_number": "702-840-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "805 S Rainbow Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891456238",
            "country_code": "US",
            "telephone_number": "702-840-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3445 W Craig Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890325117",
            "country_code": "US",
            "telephone_number": "702-840-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GAMMOH PREMIER VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-20",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "GAMMOH",
        "authorized_official_first_name": "NATALY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "702-624-3002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851668339",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Veinte Veinte",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.