Eye Doc Group LLC

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

EYE DOC GROUP LLC

Doing business as

The Eye Doc

Practice address

805 S Rainbow Blvd
Las Vegas, NV 89145-6238

Phone

(702) 385-7900

Fax

(702) 385-1116

NPI assigned

Jan 5, 2022

Organization subpart

No

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

Authorized official

Name

Luis FloresNPI 1649665894

Title

Owner/Optician

Phone

(702) 840-2020

Specialties & licenses 1

Addresses

Other names 1

• The Eye Doc Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 6

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

• Luis Orlando Flores, LICENSED OPTICIAN

  • Optician
  • Las Vegas, NV
  • NPI 1649665894
  NPD Authorized official
• Nataly Gammoh, O.D.

  • Optometrist
  • Las Vegas, NV
  • NPI 1851668339
  NPD
• Angela Khakshooy, O.D.

  • Optometrist
  • Henderson, NV
  • NPI 1013247212
  NPD (past)
• Ethan Chan, O.D.

  • Optometrist
  • New York, NY
  • NPI 1710671565
  NPD (past)
• David B Levine, OD

  • Optometrist
  • Toledo, OH
  • NPI 1093724577
  NPD (past)
• Stephen Tester, OPTOMETRIST

  • Optometrist
  • Brea, CA
  • NPI 1710654421
  NPD (past)

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1750042396",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 S RAINBOW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891456238",
            "telephone_number": "702-385-7900",
            "fax_number": "702-385-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE DOC GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "OWNER/OPTICIAN",
        "authorized_official_telephone_number": "702-840-2020"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Eye Doc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Eye Doc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Extra Helper LLC
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• Eye Care Associates of Nevada Las Vegas, Inc (Eye Care Associates of Nevada)
• Eye Care at Rhodes Ranch
• Eye Doc Inc.
• Eye Doc, Inc.
• Eye Docs of Nevada
• Eye Guys LLC (All Things Eyes Blue Diamond)
• Eye Institute of Nevada

• Optician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Optician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.