Organization Active NPI

Melissa a. Beaty, O.D., Professional Corporation

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1881889426
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
580 Issued in NV
Legal business name
MELISSA A. BEATY, O.D., PROFESSIONAL CORPORATION
Practice address
9011 W Sahara Ave
Suite 101
Las Vegas, NV 89117-4800
Phone
(702) 792-3937
Fax
(702) 732-4108
NPI assigned
Sep 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Authorized official

Name
Dr. Melissa A Beaty, O.D.
Title
Owner/Optometrist
Phone
(702) 792-3937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 580 NV Primary

Addresses

Primary practice location

9011 W Sahara Ave
Suite 101
Las Vegas, NV 89117-4800

Mailing address

9011 W Sahara Ave
Suite 101
Las Vegas, NV 89117-4800
Phone (702) 792-3937

National Provider Directory

National Provider Directory

Locations

9011 W Sahara Ave
Ste 101
Las Vegas, NV 89117
Phone (702) 792-3937

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1881889426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9011 W SAHARA AVE",
            "address_2": "SUITE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891174800",
            "telephone_number": "702-792-3937",
            "fax_number": "702-732-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9011 W SAHARA AVE",
            "address_2": "SUITE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891174800",
            "telephone_number": "702-792-3937",
            "fax_number": "702-732-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA A. BEATY, O.D., PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "BEATY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "702-792-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "580",
            "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 Sep 6, 2007; 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.