Organization Active NPI

Doyle & Rastegar-Lari, PLLC

  • Optometrist
  • Henderson, NV
National Provider Identifier
1720864200
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DOYLE & RASTEGAR-LARI, PLLC
Practice address
1485 W Warm Springs Rd Ste 106
Henderson, NV 89014-7632
Phone
(702) 433-1102
NPI assigned
Aug 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Authorized official

Name
Mrs. Nazanin Rastegar-LariNPI 1912394107
Title
Coo
Phone
(773) 610-3233

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1485 W Warm Springs Rd Ste 106
Henderson, NV 89014-7632

Mailing address

346 Newcastle Bridge CT
Las Vegas, NV 89138-1546
Phone (630) 300-4174

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231120001038 NV Part B Supplier - Clinic/Group Practice 4981052644 Receives reassigned benefits from 1 practitioner
Practice locations: Henderson, NV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1720864200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 NEWCASTLE BRIDGE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891381546",
            "telephone_number": "630-300-4174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 W WARM SPRINGS RD STE 106",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890147632",
            "telephone_number": "702-433-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOYLE & RASTEGAR-LARI, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "RASTEGAR-LARI",
        "authorized_official_first_name": "NAZANIN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "773-610-3233",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.