Long Kevin Diep, Odpc

Primary specialty

OptometristTaxonomy code 152W00000X

License

324 Issued in NV

Legal business name

LONG KEVIN DIEP, ODPC

Practice address

3437 S Jones Blvd
Las Vegas, NV 89146-6729

Phone

(702) 889-1128

NPI assigned

Oct 8, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Long Kevin Kevin Diep, OD

Title

President

Phone

(702) 889-1128

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 5

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

• David Diep

  • Optometrist
  • Las Vegas, NV
  • NPI 1386403285
  Medicare reassignment Care Compare group NPD
• Long Kevin Diep, O.D.

  • Optometrist
  • Las Vegas, NV
  • NPI 1598805525
  Medicare reassignment Care Compare group NPD
• Christopher Pascual Campana, O.D.

  • Optometrist
  • Henderson, NV
  • NPI 1154763662
  Medicare reassignment NPD
• Jacqueline Anne Ecalnir Julio, OD

  • Optometrist
  • North Las Vegas, NV
  • NPI 1336701788
  Medicare reassignment NPD
• Michael Lawrence Lum, O.D.

  • Optometrist
  • Las Vegas, NV
  • NPI 1306383138
  Medicare reassignment NPD

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1841542438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3437 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466729",
            "telephone_number": "702-889-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3437 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466729",
            "telephone_number": "702-889-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG KEVIN DIEP, ODPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-08",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "DIEP",
        "authorized_official_first_name": "LONG KEVIN",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-889-1128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lone Mountain Dental, LLC
• Lone Mountain Family Dental
• Lone Mountain Medical Centre (Goldsmith Healthcare, LTD)
• Unhoe Ku Lonero
• Puanani Elisha Lonetti
• Pearl Lee Long-Davis
• Aitza Long
• Allan Paul Long, DC
• Anisha Long
• Anna Marie Long

• 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 Nov 3, 2022; 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.