Individual provider Active NPI

Shana Farber Korman, OPTOMETRIST

  • Optometrist
  • Henderson, NV
National Provider Identifier
1649312323
Registry record updated Dec 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
584 Issued in NV
Practice address
2870 Bicentennial Pkwy
Suite 130
Henderson, NV 89044-4480
Phone
(702) 459-3937
Fax
(702) 459-3902
NPI assigned
Feb 12, 2007
Last updated
Dec 19, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001133 PA
Optometrist 152W00000X 584 NV Primary

Addresses

Primary practice location

2870 Bicentennial Pkwy
Suite 130
Henderson, NV 89044-4480

Mailing address

2870 Bicentennial Pkwy
Suite 130
Henderson, NV 89044-4480
Phone (702) 459-3937

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
I20071010000739 NV Practitioner - Optometry 6901842863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2870 Bicentennial Pkwy
Suite 130
Henderson, NV 89044-4482
Phone (702) 459-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Korman Optometry, LTD CurrentSince Nov 1, 2007 Accepting new patients
House Call Eye Care, LLC Optometrist PastSince Jan 1, 1990 Accepting new patients
On Site Health Services PC Optometrist PastSince Aug 6, 2001 Accepting new patients
Ophthalmology Consulting Services, PC Past Accepting new patients
Eagle Eye Vision, LLC Optometrist Past Accepting new patients

Locations

2870 Bicentennial Pkwy
Ste 130
Henderson, NV 89044
Phone (215) 805-2348

Organizations & group practices 5

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229644800000",
    "number": "1649312323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2870 BICENTENNIAL PKWY",
            "address_2": "SUITE 130",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890444480",
            "telephone_number": "702-459-3937",
            "fax_number": "702-459-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 BICENTENNIAL PKWY",
            "address_2": "SUITE 130",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890444480",
            "telephone_number": "702-459-3937",
            "fax_number": "702-459-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORMAN",
        "first_name": "SHANA",
        "middle_name": "FARBER",
        "name_prefix": "Dr.",
        "credential": "OPTOMETRIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2008-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001133",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.