Organization Active NPI

Park Family Eyecare Inc.

  • Optometrist
  • Henderson, NV
National Provider Identifier
1760120265
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 24, 2022

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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.

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.

Verify at the official NPI Registry.