NPIMap

Organization Active NPI

Shepherd Eye Center, LTD

Doing business as Nevada Eye Physicians

  • Ophthalmology Physician
  • Henderson, NV
National Provider Identifier
1568032522
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
SHEPHERD EYE CENTER, LTD
Doing business as
Nevada Eye Physicians
Practice address
1505 Wigwam Pkwy Ste 100
Henderson, NV 89074-8195
Phone
(702) 896-6043
Fax
(702) 896-9591
NPI assigned
Jun 30, 2021
Last updated
Jan 3, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
SHEPHERD EYE CENTER, LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Authorized official

Name
Sheli Marie Crabtree
Title
Senior Credentialing Manager
Phone
(512) 314-1613

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

1505 Wigwam Pkwy Ste 100
Henderson, NV 89074-8195

Mailing address

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

Other practice location 1

9100 W Post Rd
Las Vegas, NV 89148-2418
Phone (702) 896-6043

Other practice location 2

2020 Wellness Way Ste 401
Las Vegas, NV 89106-4145
Phone (702) 896-6043

Other practice location 3

6850 N Durango Dr Ste 404
Las Vegas, NV 89149-4598
Phone (702) 896-6043

Other practice location 4

1627 Boulder City Pkwy
Boulder City, NV 89005-1908
Phone (702) 896-6043

Other practice location 5

3610 S Nevada Highway 160 Ste 204
Pahrump, NV 89048-1206
Phone (702) 896-6043

Other practice location 6

61 N Willow St Ste 2
Mesquite, NV 89027-4786
Phone (702) 896-6043

Other identifiers 1

IdentifierTypeStateIssuer
1568032522MedicaidNV

Other names 1

  • NEVADA EYE PHYSICIANS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040420001820 NV Part B Supplier - Clinic/Group Practice 9234125907 Receives reassigned benefits from 42 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Las Vegas, NV; Pahrump, NV; Mesquite, NV; Henderson, NV; Boulder City, NV

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
John R Shepherd MD LTD4 organizations share this tax ID, including this one
Part of
John R Shepherd MD LTD

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

100 N Green Valley Pkwy
Ste 215
Henderson, NV 89074
Phone (702) 247-9994

2475 W Horizon Ridge Pkwy
Ste 120
Henderson, NV 89052
Phone (702) 731-2088

50 S Stephanie St
Ste 101
Henderson, NV 89012

2100 N Rampart Blvd
Las Vegas, NV 89128
Phone (702) 731-2088

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

8467 W Lake Mead Blvd
Las Vegas, NV 89128
Phone (702) 731-2088

3620 S Nevada Hwy 160
BLDG C Ste 101
Pahrump, NV 89048

Practitioners & affiliated clinicians

Practitioners 42

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.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1568032522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 WIGWAM PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890748195",
            "telephone_number": "702-896-6043",
            "fax_number": "702-896-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 WIGWAM PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890748195",
            "telephone_number": "702-896-6043",
            "fax_number": "702-896-9591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9100 W Post Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891482418",
            "country_code": "US",
            "telephone_number": "702-896-6043",
            "fax_number": "702-896-9591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2020 Wellness Way Ste 401",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891064145",
            "country_code": "US",
            "telephone_number": "702-896-6043",
            "fax_number": "702-896-9591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6850 N Durango Dr Ste 404",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891494598",
            "country_code": "US",
            "telephone_number": "702-896-6043",
            "fax_number": "702-896-9591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1627 Boulder City Pkwy",
            "address_purpose": "LOCATION",
            "city": "Boulder City",
            "state": "NV",
            "postal_code": "890051908",
            "country_code": "US",
            "telephone_number": "702-896-6043",
            "fax_number": "702-896-9591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3610 S Nevada Highway 160 Ste 204",
            "address_purpose": "LOCATION",
            "city": "Pahrump",
            "state": "NV",
            "postal_code": "890481206",
            "country_code": "US",
            "telephone_number": "702-896-6043",
            "fax_number": "702-896-9591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "61 N Willow St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "NV",
            "postal_code": "890274786",
            "country_code": "US",
            "telephone_number": "702-896-6043",
            "fax_number": "702-896-9591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHEPHERD EYE CENTER, LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHEPHERD EYE CENTER, LTD",
        "enumeration_date": "2021-06-30",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "CRABTREE",
        "authorized_official_first_name": "SHELI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SENIOR CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "512-314-1613"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568032522",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEVADA EYE PHYSICIANS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NEVADA EYE PHYSICIANS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.