Desert Medical Eye Center Optical Shop

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

5468 Issued in NV

Legal business name

DESERT MEDICAL EYE CENTER OPTICAL SHOP

Practice address

4324 S Eastern Ave
Suite a
Las Vegas, NV 89119-6016

Phone

(702) 734-9585

Fax

(702) 734-9518

NPI assigned

Mar 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Judy M Craythorn, M.D.

Title

Owner/Director

Phone

(702) 734-9585

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1568422335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4324 S EASTERN AVE",
            "address_2": "SUITE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196016",
            "telephone_number": "702-734-9585",
            "fax_number": "702-734-9518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4324 S EASTERN AVE",
            "address_2": "SUITE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196016",
            "telephone_number": "702-734-9585",
            "fax_number": "702-734-9518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT MEDICAL EYE CENTER OPTICAL SHOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "CRAYTHORN",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "702-734-9585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NV",
            "license": "5468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desert Inn Womens Clinic CHTD
• Desert Institute of Specialty Care LLC
• Desert Integrative Health LLC
• Desert Medical Clinic
• Desert Medical Equipment
• Desert Medical Rehab LLC
• Desert Moon Sleep Lab LLC
• Desert Nephrology of Nevada, LLC
• Desert Neurology Associates, LLC
• Desert Neuromonitoring Group, LLC

• Eyewear Supplier in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Eyewear Supplier in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.