Active NPI
Shepherd Eye Center
- Durable Medical Equipment & Medical Supplies
- Las Vegas, NV
National Provider Identifier
1629191960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SHEPHERD EYE CENTER
- Practice address
- 3575 Pecos McLeod
Las Vegas, NV 89121-3803 - Phone
- (702) 731-2088
- NPI assigned
- Apr 10, 2007
- Last updated
- Jan 3, 2024
- 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
- Ms. Christina Kennelley
- Title
- Practice Manager
- Phone
- (702) 731-2088
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NV | Primary |
Addresses
Primary practice location
3575 Pecos McLeod
Las Vegas, NV 89121-3803
Mailing address
3575 Pecos McLeod
Las Vegas, NV 89121-3803
Phone (702) 731-2088
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1218020001 | Other | NV | NORIDIAN DMS |
National Provider Directory
National Provider Directory- Tax ID family
- John R Shepherd MD LTD
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Nevada Eye Physicians
- Ophthalmology Physician
- Henderson, NV
- NPI 1568032522
Interoperability endpoints
- https://cepnv-sec.mmi.prod.fhir.ema-api.com/fhir/r4/
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704240000000",
"number": "1629191960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3575 PECOS MCLEOD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891213803",
"telephone_number": "702-731-2088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3575 PECOS MCLEOD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891213803",
"telephone_number": "702-731-2088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHEPHERD EYE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-10",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A",
"authorized_official_last_name": "KENNELLEY",
"authorized_official_first_name": "CHRISTINA",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "702-731-2088",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NV",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORIDIAN DMS",
"identifier": "1218020001",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.