Individual provider Active NPI

Elaine Xin, OD

  • Optometrist
  • North Las Vegas, NV
National Provider Identifier
1609509884
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35220 Issued in CA
Practice address
6900 N Pecos Rd
North Las Vegas, NV 89086-4400
Phone
(909) 527-9002
NPI assigned
Jul 6, 2022
Last updated
Mar 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Optometrist 152W00000X 1149 NV
Optometrist 152W00000X 35220 CA Primary

Addresses

Primary practice location

6900 N Pecos Rd
North Las Vegas, NV 89086-4400

Mailing address

8359 Whitmore St
Rosemead, CA 91770-2648

Other practice location 1

11540 S Eastern Ave Ste 100
Henderson, NV 89052-6449
Phone (702) 476-2225

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230530002241 NV Practitioner - Optometry 0749647139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meadows Healthcare LLCGroup PAC ID 9638468739, 19 clinicians

Practice addresses (Care Compare)

1820 E Desert Inn Rd
Las Vegas, NV 89169-3241
Phone (702) 358-0472

Merit-based Incentive Payment System (MIPS)

Final score
88.04 of 100Reported as group
Quality
86.9
Improvement activities
40
Cost
77.59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35220CAMDOptometrist
1149NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Meadows Healthcare LLC CurrentSince Sep 26, 2023 Accepting new patients

Locations

2749 Sunridge Heights Pkwy
Henderson, NV 89052
Phone (702) 568-0686

1820 E Desert Inn Rd
Las Vegas, NV 89169
Phone (702) 732-2398

5295 S Durango Dr
Ste 102
Las Vegas, NV 89113

5556 S Fort Apache Rd
Las Vegas, NV 89148

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1609509884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8359 WHITMORE ST",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917702648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 N PECOS RD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890864400",
            "telephone_number": "909-527-9002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11540 S Eastern Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890526449",
            "country_code": "US",
            "telephone_number": "702-476-2225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "XIN",
        "first_name": "ELAINE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "1149",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.