Long Kevin Diep, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

324 Issued in NV

Practice address

3437 S Jones Blvd
Las Vegas, NV 89146-6729

Phone

(702) 889-1128

Fax

(702) 889-2180

NPI assigned

Feb 7, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kevin Diep Professional name

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern California College of Optometry, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Long Kevin Diep O D P CGroup PAC ID 5193974970, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Long Kevin Diep, Odpc

  • Optometrist
  • Las Vegas, NV
  • NPI 1841542438
  Medicare reassignment Care Compare group NPD
• Spring Mountain Vision, Inc.

  • Optometrist
  • Las Vegas, NV
  • NPI 1932426251
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1598805525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3437 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466729",
            "telephone_number": "702-889-1128",
            "fax_number": "702-889-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3437 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466729",
            "telephone_number": "702-889-1128",
            "fax_number": "702-889-2180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4043 Spring Mountain Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891028614",
            "country_code": "US",
            "telephone_number": "702-889-8338",
            "fax_number": "702-889-2889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIEP",
        "first_name": "LONG",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2502014",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEVIN",
            "last_name": "DIEP",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Brian Diep, DPT
• David Diep
• Gia Uyen T Diep
• Harrison Golden Diep, PT, DPT
• Jimmy Diep, M.D.
• Nguyen Diep
• Sheila Diep
• Winston Diep
• Kathryn Ann Dieppa Barnum
• Erislandy Dieppa Maceo

• Optometrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.

Verify at the official NPI Registry.