Active NPI
Kyle Griffin, OD
- Optometrist
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1071
- Practice address
- 7090 N Durango Dr Ste 110
Las Vegas, NV 89149-4495 - Phone
- (702) 220-3937
- Fax
- (702) 655-3182
- NPI assigned
- Aug 21, 2020
- Last updated
- Mar 27, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1071 | NV | Primary |
Addresses
Primary practice location
7090 N Durango Dr Ste 110
Las Vegas, NV 89149-4495
Mailing address
7090 N Durango Dr Ste 110
Las Vegas, NV 89149-4495
Phone (702) 220-3937
Other practice location 1
4401 E Sunset Rd Ste 4
Henderson, NV 89014-2200
Phone (702) 299-6200
Other practice location 2
9650 W Skye Canyon Park Dr Ste 140
Las Vegas, NV 89166-6618
Phone (702) 803-2020
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Western University of Health Sciences College of Dental Med, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7090 N Durango Dr
Suite 110
Las Vegas, NV 89149-4495
Phone (702) 220-3937
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1071 | NV | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawrence Wang OD Inc | Optometrist | Current | Accepting new patients |
Locations
7090 N Durango Dr
Ste 110
Las Vegas, NV 89149
Phone (702) 220-3937
Organizations & group practices 1
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": "1597968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743033600000",
"number": "1538771308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7090 N DURANGO DR STE 110",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891494495",
"telephone_number": "702-220-3937",
"fax_number": "702-655-3182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7090 N DURANGO DR STE 110",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891494495",
"telephone_number": "702-220-3937",
"fax_number": "702-655-3182"
}
],
"practiceLocations": [
{
"address_1": "4401 E Sunset Rd Ste 4",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "NV",
"postal_code": "890142200",
"country_code": "US",
"telephone_number": "702-299-6200",
"fax_number": "702-655-3182",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9650 W Skye Canyon Park Dr Ste 140",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891666618",
"country_code": "US",
"telephone_number": "702-803-2020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRIFFIN",
"first_name": "KYLE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-21",
"last_updated": "2025-03-27",
"certification_date": "2025-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NV",
"license": "1071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.