Individual provider Active NPI

Steve Nguyen, OD

  • Optometrist
  • Henderson, NV
National Provider Identifier
1881814226
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
417 Issued in NV
Practice address
2260 Village Walk Drive
Suite 108
Henderson, NV 89052
Phone
(702) 871-3937
Fax
(702) 871-3936
NPI assigned
Apr 26, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 417 NV Primary

Addresses

Primary practice location

2260 Village Walk Drive
Suite 108
Henderson, NV 89052

Mailing address

2260 Village Walk Drive
Suite 108
Henderson, NV 89052
Phone (702) 871-3937

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
I20141112002606 NV Practitioner - Optometry 7517181241 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1992
Medicare assignment
May accept Medicare assignment
Group practices
Optic Gallery the District LLCGroup PAC ID 6204124209, 4 clinicians
Optic Gallery Seven Hills LLCGroup PAC ID 9537383260, 4 clinicians

Practice addresses (Care Compare)

2260 Village Walk Dr
Suite 108
Henderson, NV 89052-5689
Phone (702) 871-3937

3195 Saint Rose Pkwy
Suite 100
Henderson, NV 89052-3509
Phone (702) 634-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
417NVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optic Gallery the District LLC Optometrist CurrentSince Jul 16, 2016 Accepting new patients

Locations

2260 Village Walk Dr
Ste 108
Henderson, NV 89052
Phone (702) 871-3937

Organizations & group practices 3

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": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881814226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 VILLAGE WALK DRIVE",
            "address_2": "SUITE 108",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89052",
            "telephone_number": "702-871-3937",
            "fax_number": "702-871-3936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 VILLAGE WALK DRIVE",
            "address_2": "SUITE 108",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89052",
            "telephone_number": "702-871-3937",
            "fax_number": "702-871-3936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "STEVE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.