Organization Active NPI

Brimhall Eye, PLLC

  • Ophthalmology Physician
  • Las Vegas, NV
National Provider Identifier
1629254081
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
BRIMHALL EYE, PLLC
Practice address
6850 N Durango Dr Ste 110
Las Vegas, NV 89149-4596
Phone
(702) 263-2020
Fax
(702) 396-0287
NPI assigned
Jan 16, 2008
Last updated
Sep 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Authorized official

Name
Dr. Brett Brimhall, M.D.NPI 1033191853
Title
Owner
Phone
(702) 263-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4341 NV
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

6850 N Durango Dr Ste 110
Las Vegas, NV 89149-4596

Mailing address

6850 N Durango Dr Ste 110
Las Vegas, NV 89149-4596
Phone (702) 263-2020

Other practice location 1

2800 N Tenaya Way Ste 102
Las Vegas, NV 89128-1100
Phone (702) 263-2020

Other practice location 2

5380 S Rainbow Blvd Ste 200
Las Vegas, NV 89118-1879
Phone (702) 263-2020

Other identifiers 3

IdentifierTypeStateIssuer
002002528MedicaidNV
100515973MedicaidNV
180026680OtherNVMEDICARE RAILROAD

Other names 1

  • Tyree Carr MD LTD dba Brimhall Eye Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090806000614 NV Part B Supplier - Clinic/Group Practice 1759434814 Receives reassigned benefits from 4 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

2800 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 335-2922

2800 N Tenaya Way
Ste 102
Las Vegas, NV 89128
Phone (702) 240-2820

5380 S Rainbow Blvd
Ste 200
Las Vegas, NV 89118
Phone (702) 263-2020

1703 Civic Center Dr
Ste 2
North Las Vegas, NV 89030
Phone (702) 642-7952

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1629254081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 N DURANGO DR STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494596",
            "telephone_number": "702-263-2020",
            "fax_number": "702-396-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 N DURANGO DR STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494596",
            "telephone_number": "702-263-2020",
            "fax_number": "702-396-0287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 N Tenaya Way Ste 102",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891281100",
            "country_code": "US",
            "telephone_number": "702-263-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5380 S Rainbow Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891181879",
            "country_code": "US",
            "telephone_number": "702-263-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIMHALL EYE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "BRIMHALL",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-263-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "4341",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002002528",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100515973",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "180026680",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tyree Carr MD LTD dba Brimhall Eye",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.