Desert Vision and Eye Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

0231 Issued in NV

Legal business name

DESERT VISION AND EYE CARE, LLC

Practice address

4116 W Craig Rd Ste 104
North Las Vegas, NV 89032-2733

Phone

(702) 631-2015

Fax

(702) 631-2511

NPI assigned

Nov 18, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Donald Mazzulla, O.D.

Title

Owner

Phone

(702) 631-2015

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Christopher Ngo, O.D.

  • Optometrist
  • San Jose, CA
  • NPI 1013205228
  NPD (past)

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1891097150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8724 AZURE SKY DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891292223",
            "telephone_number": "702-631-2015",
            "fax_number": "702-631-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4116 W CRAIG RD STE 104",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890322733",
            "telephone_number": "702-631-2015",
            "fax_number": "702-631-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT VISION AND EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-18",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "MAZZULLA",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-631-2015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "0231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1194777219",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0231",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deon Derby
• Jomer Desamero, RRT
• Desert Dental Associates IV, LLC
• Desert Rose Counseling Group, LLC
• Desert Valley Health and Wellness L.L.C
• Designs by Cheech, LLC
• Desired Results Behavioral Health Center
• Destiny Fulfilled Community Services, LLC
• Deidra Cody Devereaux, M.S., R.D.N.
• Devine Home Health Care LLC

• Optometrist in North Las Vegas, NV
• Providers in North 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 Aug 27, 2014; 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.