Organization Active NPI

Toan Ha, O.D. LLC

Doing business as Summerlin Optometric Eye Care

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1538456181
Registry record updated Oct 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
521 Issued in NV
Legal business name
TOAN HA, O.D. LLC
Doing business as
Summerlin Optometric Eye Care
Practice address
410 S Rampart Blvd
# 140
Las Vegas, NV 89145-5726
Phone
(702) 898-8900
NPI assigned
Jul 4, 2011
Last updated
Oct 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2011

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

Authorized official

Name
Dr. Toan Ha, O.D.NPI 1801980321
Title
Owner
Phone
(702) 898-8900

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
Optometrist 152W00000X 521 NV Primary

Addresses

Primary practice location

410 S Rampart Blvd
# 140
Las Vegas, NV 89145-5726

Mailing address

4861 Camino Pacifico
North Las Vegas, NV 89031-1084

Other identifiers 1

IdentifierTypeStateIssuer
100511759MedicaidNV

Other names 1

  • Summerlin Optometric Eye Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110815000306 NV Part B Supplier - Clinic/Group Practice 3678742343 Receives reassigned benefits from 1 practitioner
Practice locations: North Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

410 S Rampart Blvd
Ste 140
Las Vegas, NV 89145
Phone (702) 898-8900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1309737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319760000000",
    "number": "1538456181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4861 CAMINO PACIFICO",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890311084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S RAMPART BLVD",
            "address_2": "# 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891455726",
            "telephone_number": "702-898-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOAN HA, O.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-04",
        "last_updated": "2011-10-28",
        "status": "A",
        "authorized_official_last_name": "HA",
        "authorized_official_first_name": "TOAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-898-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100511759",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summerlin Optometric Eye Care",
            "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 Oct 28, 2011; 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.