Neil K Dickerson OD PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

NEIL K DICKERSON OD PLLC

Practice address

8660 W Cheyenne Ave Ste 120
Las Vegas, NV 89129-7455

Phone

(702) 790-2400

Fax

(702) 790-2441

NPI assigned

Dec 28, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Neil K. Dickerson, ODNPI 1588945901

Title

Optometrist

Phone

(702) 790-2400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Neil K Dickerson, O.D.

  • Optometrist
  • Las Vegas, NV
  • NPI 1588945901
  Medicare reassignment Authorized official
• Karl Martell Larsen, O.D.

  • Optometrist
  • Las Vegas, NV
  • NPI 1235226523
  NPD

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1821758178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8660 W CHEYENNE AVE STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297455",
            "telephone_number": "702-790-2400",
            "fax_number": "702-790-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8660 W CHEYENNE AVE STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297455",
            "telephone_number": "702-790-2400",
            "fax_number": "702-790-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL K DICKERSON OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "702-790-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neighborhood Dental
• Neighborhood Family Services Home Healthcare
• Neighborhood Family Services, LLC
• Neighborhood Health & Wellness PLLC
• Neighborhoodlv Corporation
• Loron Anthony Patrick Neil
• Rachelle M Neil
• Scott J Neil, DDS
• Brittney Neilson
• Linda R Neilson, RN, BS, CCM

• 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 Dec 28, 2021; 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.