Individual provider Active NPI

Erika Duggan, O.D.

  • Optometrist
  • Henderson, NV
National Provider Identifier
1790738870
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
501 Issued in NV
Practice address
10120 S Eastern Ave
Suite 165
Henderson, NV 89052-3951
Phone
(702) 456-9585
Fax
(702) 456-0011
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 501 NV Primary

Addresses

Primary practice location

10120 S Eastern Ave
Suite 165
Henderson, NV 89052-3951

Mailing address

10120 S Eastern Ave Ste 165
Henderson, NV 89052-3926
Phone (702) 456-9585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070914000230 NV Practitioner - Optometry 4486748902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10120 S Eastern Ave
Suite 165
Henderson, NV 89052-3926
Phone (702) 456-9585

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Erika Duggan Optometrist CurrentSince Nov 1, 2011 Accepting new patients

Locations

10120 S Eastern Ave
Ste 165
Henderson, NV 89052
Phone (702) 456-9585

Organizations & group practices 2

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1790738870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10120 S EASTERN AVE STE 165",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523926",
            "telephone_number": "702-456-9585",
            "fax_number": "702-456-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10120 S EASTERN AVE",
            "address_2": "SUITE 165",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523951",
            "telephone_number": "702-456-9585",
            "fax_number": "702-456-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGGAN",
        "first_name": "ERIKA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.