Individual provider Active NPI

Trevor Monahan, OD

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1780161729
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
988 Issued in NV
Practice address
1300 S Eastern Ave
Las Vegas, NV 89104-3902
Phone
(702) 385-2242
NPI assigned
Jul 23, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 988 NV Primary

Addresses

Primary practice location

1300 S Eastern Ave
Las Vegas, NV 89104-3902

Mailing address

2988 Barrett Springs Ave
Henderson, NV 89044-1612
Phone (808) 285-2237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, HI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181105002267 NV Practitioner - Optometry 5799038923 Reassigns benefits to 1 organization
I20221129001990 HI Practitioner - Optometry 5799038923 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monahan OD LLCGroup PAC ID 9335515402, 2 clinicians
Mrs Hilo LLCGroup PAC ID 7517381908, 5 clinicians

Practice addresses (Care Compare)

1401 S Beretania St
Suite 570
Honolulu, HI 96814-1871
Phone (808) 735-7633

34 W Kawailani St
Hilo, HI 96720-5649
Phone (808) 935-8887

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
988NVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Las Vegas Family Eye Care, Todd C. Angell, O.D. LTD Optometrist CurrentSince Sep 4, 2018 Accepting new patients
Monahan OD LLC Optometrist CurrentSince Jul 1, 2022 Accepting new patients
Mrs Hilo LLC Optometrist CurrentSince Aug 1, 2025 Accepting new patients

Locations

34 W Kawailani St
Hilo, HI 96720
Phone (808) 735-1935

1401 S Beretania St
Ste 570
Honolulu, HI 96814
Phone (808) 536-5919

1300 S Eastern Ave
Las Vegas, NV 89104
Phone (702) 385-2242

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1780161729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2988 BARRETT SPRINGS AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890441612",
            "telephone_number": "808-285-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043902",
            "telephone_number": "702-385-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONAHAN",
        "first_name": "TREVOR",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.