Eye & Cosmetic Surgery LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

926 Issued in NU

Legal business name

EYE & COSMETIC SURGERY LLC

Practice address

3210 E Lake Mead Blvd
North Las Vegas, NV 89030-9004

Phone

(702) 642-7711

Fax

(702) 642-8822

NPI assigned

Nov 8, 2013

Last updated

Dec 15, 2023By the provider in NPPES

Organization subpart

No

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.NPI 1396820007

Title

Medical Director

Phone

(702) 642-7711

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

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.

• James Daniel Carpenter, D.O.

  • Ophthalmology Physician
  • North Las Vegas, NV
  • NPI 1396820007
  Medicare reassignment Care Compare group Authorized official
• Christopher Richardson, M.D.

  • Surgery Physician
  • Las Vegas, NV
  • NPI 1386872265
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1609205731",
    "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": "89052",
            "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": "3210 E LAKE MEAD BLVD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890309004",
            "telephone_number": "702-642-7711",
            "fax_number": "702-642-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE & COSMETIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-08",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "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": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": "926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eye & Facial Care LLC
• James Ezenwaka
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• Danny Faamai
• Sotero Festin Fabella, MD

• Ophthalmology Physician in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Ophthalmology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.