Organization Active NPI

Desert Cliffs Eyecare, PLLC

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1629647763
Registry record updated Aug 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DESERT CLIFFS EYECARE, PLLC
Practice address
4155 S Grand Canyon Dr
Las Vegas, NV 89147-7123
Phone
(507) 461-3420
NPI assigned
Jun 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2024

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

Authorized official

Name
Kyle LangrNPI 1316257827
Title
Managing Member
Phone
(702) 848-2785

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

4155 S Grand Canyon Dr
Las Vegas, NV 89147-7123

Mailing address

4155 S Grand Canyon Dr (C/O Desert Cliffs Eyecare PLLC)
Las Vegas, NV 89147-7123
Phone (507) 461-3420

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723852800000",
    "number": "1629647763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 S GRAND CANYON DR (C/O DESERT CLIFFS EYECARE PLLC)",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891477123",
            "telephone_number": "507-461-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 S GRAND CANYON DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891477123",
            "telephone_number": "507-461-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT CLIFFS EYECARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-23",
        "last_updated": "2024-08-17",
        "certification_date": "2024-08-17",
        "status": "A",
        "authorized_official_last_name": "LANGR",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-848-2785"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 17, 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.

Verify at the official NPI Registry.