Individual provider Active NPI

Luis Orlando Flores, LICENSED OPTICIAN

  • Optician
  • Las Vegas, NV
National Provider Identifier
1649665894
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
DR4154 Issued in TX
Practice address
556 N Eastern Ave Ste a
Las Vegas, NV 89101-3453
Phone
(702) 385-7900
NPI assigned
Apr 4, 2015
Last updated
Mar 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X DR4154 TX Primary

Addresses

Primary practice location

556 N Eastern Ave Ste a
Las Vegas, NV 89101-3453

Mailing address

556 N Eastern Ave Ste a
Las Vegas, NV 89101-3453
Phone (914) 449-1831

Other practice location 1

5545 NW Loop 410
San Antonio, TX 78238-1825
Phone (210) 543-2020

Other practice location 2

5545 NW Loop 410
San Antonio, TX 78238-1825
Phone (210) 543-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DR4154TXMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
The Eye Doctor at St. Rose LLC Optician Current Accepting new patients
Eye Doc Group LLC Optician Current Accepting new patients
Veinte Veinte Las Vegas LLC Optician Current Accepting new patients

Locations

556 N Eastern Ave
Ste A
Las Vegas, NV 89101
Phone (702) 385-7900

Organizations & group practices 3

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": "1428105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1649665894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 N EASTERN AVE STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891013453",
            "telephone_number": "914-449-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 N EASTERN AVE STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891013453",
            "telephone_number": "702-385-7900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5545 NW Loop 410",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782381825",
            "country_code": "US",
            "telephone_number": "210-543-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5545 NW Loop 410",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782381825",
            "country_code": "US",
            "telephone_number": "210-543-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORES",
        "first_name": "LUIS",
        "middle_name": "ORLANDO",
        "credential": "LICENSED OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-04",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "TX",
            "license": "DR4154",
            "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 Mar 16, 2022; 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.