Individual provider Active NPI

Isaac Jacob Ortiz, O.D.

  • Optometrist
  • North Las Vegas, NV
National Provider Identifier
1811365190
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
831 Issued in NV
Practice address
5115 Camino Al Norte
North Las Vegas, NV 89031-2373
Phone
(702) 358-0472
Fax
(702) 425-9955
NPI assigned
Sep 3, 2015
Last updated
Sep 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 831 NV Primary

Addresses

Primary practice location

5115 Camino Al Norte
North Las Vegas, NV 89031-2373

Mailing address

2112 Lapalco Ave
North Las Vegas, NV 89031-0607
Phone (702) 290-3414

Other practice location 1

7106 Smoke Ranch Rd Ste 102
Las Vegas, NV 89128-8306
Phone (702) 358-0472

Other practice location 2

2749 Sunridge Heights Pkwy
Henderson, NV 89052-5044
Phone (702) 358-0472

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
I20161110000919 NV Practitioner - Optometry 7618256892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meadows Healthcare LLCGroup PAC ID 9638468739, 19 clinicians

Practice addresses (Care Compare)

2749 Sunridge Heights Pkwy
Henderson, NV 89052-5044
Phone (702) 358-0472

Merit-based Incentive Payment System (MIPS)

Final score
88.04 of 100Reported as group
Quality
86.9
Improvement activities
40
Cost
77.59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Meadows Healthcare LLC CurrentSince May 5, 2021 Accepting new patients

Locations

2749 Sunridge Heights Pkwy
Henderson, NV 89052
Phone (702) 568-0686

5295 S Durango Dr
Ste 102
Las Vegas, NV 89113

5556 S Fort Apache Rd
Las Vegas, NV 89148

7106 Smoke Ranch Rd
Ste 120
Las Vegas, NV 89128
Phone (702) 869-4554

5115 Camino Al Norte
North Las Vegas, NV 89031

2120 E Calvada Blvd
Pahrump, NV 89048
Phone (702) 800-4653

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1811365190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 LAPALCO AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890310607",
            "telephone_number": "702-290-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 CAMINO AL NORTE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312373",
            "telephone_number": "702-358-0472",
            "fax_number": "702-425-9955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7106 Smoke Ranch Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891288306",
            "country_code": "US",
            "telephone_number": "702-358-0472",
            "fax_number": "702-425-9955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2749 Sunridge Heights Pkwy",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890525044",
            "country_code": "US",
            "telephone_number": "702-358-0472",
            "fax_number": "702-425-9955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "ISAAC",
        "middle_name": "JACOB",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-03",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.