Active NPI
Ena Dao, OD
- Optometrist
- Henderson, NV
National Provider Identifier
1841974433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1165
- Practice address
- 11540 S Eastern Ave Ste 100
Henderson, NV 89052-6449 - Phone
- (702) 476-2225
- NPI assigned
- Jun 14, 2023
- Last updated
- Jul 22, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1165 | NV | Primary |
Addresses
Primary practice location
11540 S Eastern Ave Ste 100
Henderson, NV 89052-6449
Mailing address
11540 S Eastern Ave Ste 100
Henderson, NV 89052-6449
Phone (702) 466-2225
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11540 S Eastern Ave
Suite 100
Henderson, NV 89052-6449
Phone (702) 476-2225
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1165 | NV | MD | Behavioral Analyst |
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": "1686700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689984000000",
"number": "1841974433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11540 S EASTERN AVE STE 100",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890526449",
"telephone_number": "702-466-2225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11540 S EASTERN AVE STE 100",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890526449",
"telephone_number": "702-476-2225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAO",
"first_name": "ENA",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-14",
"last_updated": "2023-07-22",
"certification_date": "2023-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NV",
"license": "1165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.