Organization Active NPI

Joseph K. Eng, O.D., P. C.

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1669643466
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
461 Issued in NV
Legal business name
JOSEPH K. ENG, O.D., P. C.
Practice address
6005 S Eastern Ave
Suite #100
Las Vegas, NV 89119-3135
Phone
(702) 435-8448
Fax
(702) 435-8438
NPI assigned
Mar 19, 2008
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. Joseph K. Eng, O.D.NPI 1063581056
Title
Optometrist/President
Phone
(702) 435-8448

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
Optometrist 152W00000X 461 NV Primary

Addresses

Primary practice location

6005 S Eastern Ave
Suite #100
Las Vegas, NV 89119-3135

Mailing address

6005 S Eastern Ave
Suite #100
Las Vegas, NV 89119-3135
Phone (702) 435-8448

Other identifiers 1

IdentifierTypeStateIssuer
002502002MedicaidNV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040709001266 NV Part B Supplier - Clinic/Group Practice 9638157225 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

6005 S Eastern Ave
#100
Las Vegas, NV 89119
Phone (702) 435-8448

Practitioners & affiliated clinicians

Practitioners 2

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": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1669643466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 S EASTERN AVE",
            "address_2": "SUITE #100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891193135",
            "telephone_number": "702-435-8448",
            "fax_number": "702-435-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 S EASTERN AVE",
            "address_2": "SUITE #100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891193135",
            "telephone_number": "702-435-8448",
            "fax_number": "702-435-8438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH K. ENG, O.D., P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "ENG",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OPTOMETRIST/PRESIDENT",
        "authorized_official_telephone_number": "702-435-8448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002502002",
            "state": "NV"
        }
    ],
    "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 Jun 16, 2008; 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.