Active NPI
Park Family Eyecare Inc.
- Optometrist
- Henderson, NV
National Provider Identifier
1760120265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- PARK FAMILY EYECARE INC.
- Practice address
- 300 E Lake Mead Pkwy
Henderson, NV 89015-5576 - Phone
- (702) 861-6657
- NPI assigned
- May 24, 2022
- Organization subpart
- Yes
- Parent organization
- PARK FAMILY EYECARE INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Peter Park
- Title
- Owner
- Phone
- (702) 573-9471
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
300 E Lake Mead Pkwy
Henderson, NV 89015-5576
Mailing address
2188 Orchard Mist St
Las Vegas, NV 89135-1562
Phone (702) 573-9471
National Provider Directory
National Provider Directory- Part of
- Park Family Eyecare Inc
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Optometrist
- Las Vegas, NV
- NPI 1275715237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653350400000",
"number": "1760120265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2188 ORCHARD MIST ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891351562",
"telephone_number": "702-573-9471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E LAKE MEAD PKWY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890155576",
"telephone_number": "702-861-6657"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARK FAMILY EYECARE INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PARK FAMILY EYECARE INC.",
"enumeration_date": "2022-05-24",
"last_updated": "2022-05-24",
"certification_date": "2022-05-24",
"status": "A",
"authorized_official_last_name": "PARK",
"authorized_official_first_name": "PETER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-573-9471"
},
"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 May 24, 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.