Optic Gallery Tropicana LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

20161064939 Issued in NV

Legal business name

OPTIC GALLERY TROPICANA LLC

Practice address

8880 W Charleston Blvd
Las Vegas, NV 89117-5454

Phone

(702) 938-2020

Fax

(702) 938-2034

NPI assigned

Mar 24, 2016

Last updated

Mar 24, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Julie Alamo-Leon, O.D.

Title

Owner/ Optometrist

Phone

(702) 245-9323

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Dong-Hee Suh, O.D.

  • Optometrist
  • Las Vegas, NV
  • NPI 1013324359
  Medicare reassignment NPD

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1811359383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5060 S. FORT APACHE RD STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89148",
            "telephone_number": "702-586-5222",
            "fax_number": "705-586-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8880 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175454",
            "telephone_number": "702-938-2020",
            "fax_number": "702-938-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIC GALLERY TROPICANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "ALAMO-LEON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER/ OPTOMETRIST",
        "authorized_official_telephone_number": "702-245-9323",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "20161064939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Optic Gallery Nellis LLC (Optic Gallery Nellis)
• Optic Gallery Sahara LLC
• Optic Gallery Skye Canyon LLC (Optic Gallery)
• Optic Gallery Sohi LLC
• Optic Gallery Summerlin, Inc (Optic Gallery)
• Optical Ophthamic Associates
• Optima Healthcare
• Optimal Balance Womens Care LLP
• Optimal Embrace LLC
• Optimal Mental Health Clinic

• Optometrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.