Individual provider Active NPI

Victoria L Mar, O.D.

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1639214679
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
414 Issued in NV
Practice address
7415 S Durango Dr Ste A110
Las Vegas, NV 89113-3606
Phone
(702) 736-8883
Fax
(702) 877-8882
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 414 NV Primary

Addresses

Primary practice location

7415 S Durango Dr Ste A110
Las Vegas, NV 89113-3606

Mailing address

7415 S Durango Dr Ste A110
Las Vegas, NV 89113-3606
Phone (702) 736-8883

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
I20050202000965 NV Practitioner - Optometry 8123078862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Berkeley Northeastern State University - College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Victoria L Mar OD LTDGroup PAC ID 6507816246, 2 clinicians

Practice addresses (Care Compare)

7415 S Durango Dr
Suite A110
Las Vegas, NV 89113-3606
Phone (702) 736-8883

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
414NVMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria L. Mar O.D. LTD Optometrist CurrentSince Sep 1, 2004 Accepting new patients
Eye Care at Rhodes Ranch Optometrist PastSince Oct 2, 2015 Accepting new patients

Locations

7415 S Durango Dr
#A110
Las Vegas, NV 89113
Phone (702) 736-8883

7415 S Durango Dr
Ste A110
Las Vegas, NV 89113
Phone (702) 736-8883

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639214679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7415 S DURANGO DR STE A110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133606",
            "telephone_number": "702-736-8883",
            "fax_number": "702-877-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7415 S DURANGO DR STE A110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133606",
            "telephone_number": "702-736-8883",
            "fax_number": "702-877-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAR",
        "first_name": "VICTORIA",
        "middle_name": "L",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.