Vision Optica & Supplies LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

VISION OPTICA & SUPPLIES LLC

Practice address

2121 Civic Center Dr
North Las Vegas, NV 89030-6300

Phone

(725) 258-8688

Fax

(725) 258-8697

NPI assigned

Mar 28, 2024

Organization subpart

No

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

Authorized official

Name

Alejandra Ceja

Title

Manager

Phone

(702) 379-2396

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 2

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

• Sarah A. Martin, O.D.

  • Optometrist
  • Las Vegas, NV
  • NPI 1073799136
  Medicare reassignment NPD
• David B Levine, OD

  • Optometrist
  • Toledo, OH
  • NPI 1093724577

  NV

  Medicare reassignment NPD

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1700637675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 CIVIC CENTER DR",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890306300",
            "telephone_number": "725-258-8688",
            "fax_number": "725-258-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 CIVIC CENTER DR",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890306300",
            "telephone_number": "725-258-8688",
            "fax_number": "725-258-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION OPTICA & SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "CEJA",
        "authorized_official_first_name": "ALEJANDRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-379-2396"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vip Behavioral Health Support Services
• Vip Support Services
• Demarco Durrell Virgil
• Nia Lamee Virgil
• Roseann Visconti, PHARM.D.
• Dana Shawn Vitale, D.O.
• Vitalhands
• Vituity - Nevada Koury & Partners PLLC
• Vituity-Nevada Medical Services Koury & Partners PC
• Cindy Viveros, COTA

• Optometrist in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.