NPIMap

Organization Active NPI

Eyedentity Eye Care LLC

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1871702605
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
326 Issued in NV
Legal business name
EYEDENTITY EYE CARE LLC
Practice address
10170 W Tropicana Ave
Suite # 153
Las Vegas, NV 89147-8465
Phone
(702) 873-2121
Fax
(702) 873-2109
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Laura Holt-Maloney, O.D.
Title
Optometrist
Phone
(702) 873-2121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 326 NV Primary

Addresses

Primary practice location

10170 W Tropicana Ave
Suite # 153
Las Vegas, NV 89147-8465

Mailing address

10170 W Tropicana Ave
Suite # 153
Las Vegas, NV 89147-8465
Phone (702) 873-2121

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871702605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10170 W TROPICANA AVE",
            "address_2": "SUITE # 153",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478465",
            "telephone_number": "702-873-2121",
            "fax_number": "702-873-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10170 W TROPICANA AVE",
            "address_2": "SUITE # 153",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478465",
            "telephone_number": "702-873-2121",
            "fax_number": "702-873-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEDENTITY EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLT-MALONEY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "702-873-2121",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.