Individual provider Active NPI

Justin NG, OD

  • Optometrist
  • Pahrump, NV
National Provider Identifier
1902420656
Registry record updated Jan 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1074 Issued in NV
Practice address
150 S Nevada Highway 160 Ste 14
Pahrump, NV 89048-2133
Phone
(775) 997-2020
Fax
(775) 540-0009
NPI assigned
May 28, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1074 NV Primary

Addresses

Primary practice location

150 S Nevada Highway 160 Ste 14
Pahrump, NV 89048-2133

Mailing address

150 S Nevada Highway 160 Ste 14
Pahrump, NV 89048-2133
Phone (775) 997-2020

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
I20210915001370 NV Practitioner - Optometry 9537565692 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optic Gallery Pahrump LLCGroup PAC ID 1951842830, 2 clinicians
Chen Kuo Young O D IncGroup PAC ID 9537280060, 7 clinicians

Practice addresses (Care Compare)

150 S Nevada Hwy 160
Suite C14
Pahrump, NV 89048-2176
Phone (775) 997-2020

8880 W Charleston Blvd
Las Vegas, NV 89117-5454
Phone (702) 938-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optic Gallery Sahara LLC Optometrist CurrentSince Sep 4, 2021 Accepting new patients
Optic Gallery Pahrump LLC Optometrist CurrentSince Jul 6, 2025 Accepting new patients
Wonchon Lin, M.D., PLLC CurrentSince Sep 4, 2021 Accepting new patients
Chen Kuo Young, OD. Inc. Optometrist CurrentSince Jun 20, 2025 Accepting new patients
Optic Gallery Centennial Inc Optometrist Past Accepting new patients

Locations

8880 W Charleston Blvd
Las Vegas, NV 89117
Phone (702) 938-2020

2580 S Decatur Blvd
Ste 6
Las Vegas, NV 89102
Phone (702) 570-2820

150 S Nevada Highway 160
Ste C14
Pahrump, NV 89048
Phone (775) 997-2020

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767398400000",
    "number": "1902420656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S NEVADA HIGHWAY 160 STE 14",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890482133",
            "telephone_number": "775-997-2020",
            "fax_number": "775-540-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S NEVADA HIGHWAY 160 STE 14",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890482133",
            "telephone_number": "775-997-2020",
            "fax_number": "775-540-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NG",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-28",
        "last_updated": "2026-01-03",
        "certification_date": "2026-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "1074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pahrump, NV

Sources for this page

Verify at the official NPI Registry.