Active NPI
Eye & Cosmetic Surgery Center of Nevada, LLC
- Ophthalmology Physician
- North Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 926
- Legal business name
- EYE & COSMETIC SURGERY CENTER OF NEVADA, LLC
- Practice address
- 2517 E Lake Mead Blvd
North Las Vegas, NV 89030-6410 - Phone
- (702) 642-7711
- Fax
- (702) 642-8822
- NPI assigned
- Oct 25, 2006
- Last updated
- Nov 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Daniel Carpenter, D.O.
- Title
- Medical Director
- Phone
- (702) 642-7711
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 926 | NV | Primary |
Addresses
Primary practice location
2517 E Lake Mead Blvd
North Las Vegas, NV 89030-6410
Mailing address
2505 Anthem Village Dr # E-594
Henderson, NV 89052-5505
Phone (702) 642-7711
National Provider Directory
National Provider DirectoryLocations
10001 S Eastern Ave
Ste 309
Henderson, NV 89052
Phone (702) 269-6345
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Ophthalmology Physician
- North Las Vegas, NV
- NPI 1396820007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194393600000",
"number": "1598840134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2505 ANTHEM VILLAGE DR # E-594",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890525505",
"telephone_number": "702-642-7711",
"fax_number": "702-642-8822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2517 E LAKE MEAD BLVD",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890306410",
"telephone_number": "702-642-7711",
"fax_number": "702-642-8822"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE & COSMETIC SURGERY CENTER OF NEVADA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2007-11-07",
"status": "A",
"authorized_official_last_name": "CARPENTER",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "DANIEL",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "702-642-7711",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "NV",
"license": "926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.