Individual provider Active NPI

Salena Z. Thong, OD

  • Optometrist
  • North Las Vegas, NV
National Provider Identifier
1548767759
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
989 Issued in NV
Practice address
6900 N Pecos Rd # 123
North Las Vegas, NV 89086
Phone
(702) 791-9125
NPI assigned
Apr 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 989 NV Primary

Addresses

Primary practice location

6900 N Pecos Rd # 123
North Las Vegas, NV 89086

Mailing address

6900 N Pecos Rd # 123
North Las Vegas, NV 89086-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20191120003379 CA Practitioner - Optometry 7416389937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2018
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

15330 Amar Rd a
La Puente, CA 91744-2001
Phone (626) 961-0432

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34360CAMDRehabilitation Chiropractor
989NVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Edward P. & Diane M. Hernandez Optometrist Current Accepting new patients
DRS. Edward P. and Diane M. Hernandez, O.D. Optometrist CurrentSince Oct 1, 2019 Accepting new patients

Locations

1235 Buena Vista St
Duarte, CA 91010
Phone (626) 359-8145

15330 Amar Rd
Ste A
La Puente, CA 91744
Phone (626) 961-0432

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1548767759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 N PECOS RD # 123",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890864400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 N PECOS RD # 123",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "89086",
            "telephone_number": "702-791-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THONG",
        "first_name": "SALENA",
        "middle_name": "Z.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-12",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.