Active NPI
Lorenz Ophthalmology Center Limited
- Durable Medical Equipment & Medical Supplies
- Las Vegas, NV
National Provider Identifier
1780015925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- LORENZ OPHTHALMOLOGY CENTER LIMITED
- Practice address
- 2020 Goldring Ave
#401
Las Vegas, NV 89106-4000 - Phone
- (702) 896-6043
- Fax
- (702) 896-9591
- NPI assigned
- Dec 12, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rudy Manthei, D.O.
- Title
- Managing Partner
- Phone
- (702) 896-6043
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NV | Primary |
Addresses
Primary practice location
2020 Goldring Ave
#401
Las Vegas, NV 89106-4000
Mailing address
2598 Windmill Pkwy
Henderson, NV 89074-5476
Phone (702) 896-6043
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275715898 | Medicaid | NV |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1396310400000",
"number": "1780015925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2598 WINDMILL PKWY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890745476",
"telephone_number": "702-896-6043",
"fax_number": "702-896-9591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 GOLDRING AVE",
"address_2": "#401",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064000",
"telephone_number": "702-896-6043",
"fax_number": "702-896-9591"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LORENZ OPHTHALMOLOGY CENTER LIMITED",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-12",
"last_updated": "2014-04-01",
"status": "A",
"authorized_official_last_name": "MANTHEI",
"authorized_official_first_name": "RUDY",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "702-896-6043",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NV",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1275715898",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.