NPIMap

Organization Active NPI

Shepherd Eye Center, LTD

Doing business as New Eyes

  • Ophthalmology Physician
  • Las Vegas, NV
National Provider Identifier
1902478449
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
SHEPHERD EYE CENTER, LTD
Doing business as
New Eyes
Practice address
2020 Wellness Way Ste 402
Las Vegas, NV 89106-4145
Phone
(702) 485-5000
Fax
(702) 485-5005
NPI assigned
Jul 14, 2021
Organization subpart
Yes
Parent organization
SHEPHERD EYE CENTER, LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Authorized official

Name
Sheli Marie Crabtree
Title
Sr. Credentialing Manager
Phone
(512) 314-1613

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

2020 Wellness Way Ste 402
Las Vegas, NV 89106-4145

Mailing address

2020 Wellness Way Ste 402
Las Vegas, NV 89106-4145
Phone (702) 485-5000

Other practice location 1

501 Rose St
Las Vegas, NV 89106-4053
Phone (702) 485-5000

Other practice location 2

7305 S Pecos Rd Ste 101
Las Vegas, NV 89120-3701
Phone (702) 485-5000

Other practice location 3

10105 Banburry Cross Dr Ste 255
Las Vegas, NV 89144-6648
Phone (702) 485-5000

Other practice location 4

8352 W Warm Springs Rd Ste 130
Las Vegas, NV 89113-3629
Phone (702) 485-5000

Other practice location 5

6850 N Durango Dr Ste 106
Las Vegas, NV 89149-4596
Phone (702) 485-5000

Other identifiers 1

IdentifierTypeStateIssuer
1902478449MedicaidNV

Other names 1

  • New Eyes Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040420001820 NV Part B Supplier - Clinic/Group Practice 9234125907 Receives reassigned benefits from 42 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Las Vegas, NV; Pahrump, NV; Mesquite, NV; Henderson, NV; Boulder City, NV

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Focal Point4 organizations share this tax ID, including this one
Part of
Focal Point

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6850 N Durango Dr
Ste 404
Las Vegas, NV 89149
Phone (702) 731-2088

3575 Pecos McLeod
Las Vegas, NV 89121
Phone (512) 314-1612

501 Rose St
Las Vegas, NV 89106

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1902478449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 WELLNESS WAY STE 402",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064145",
            "telephone_number": "702-485-5000",
            "fax_number": "702-485-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 WELLNESS WAY STE 402",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064145",
            "telephone_number": "702-485-5000",
            "fax_number": "702-485-5005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Rose St",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891064053",
            "country_code": "US",
            "telephone_number": "702-485-5000",
            "fax_number": "702-485-5001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7305 S Pecos Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891203701",
            "country_code": "US",
            "telephone_number": "702-485-5000",
            "fax_number": "702-485-5005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10105 Banburry Cross Dr Ste 255",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891446648",
            "country_code": "US",
            "telephone_number": "702-485-5000",
            "fax_number": "702-485-5005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8352 W Warm Springs Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891133629",
            "country_code": "US",
            "telephone_number": "702-485-5000",
            "fax_number": "702-485-5005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6850 N Durango Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891494596",
            "country_code": "US",
            "telephone_number": "702-485-5000",
            "fax_number": "702-485-5005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHEPHERD EYE CENTER, LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHEPHERD EYE CENTER, LTD",
        "enumeration_date": "2021-07-14",
        "last_updated": "2024-10-01",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "CRABTREE",
        "authorized_official_first_name": "SHELI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SR. CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "512-314-1613"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902478449",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Eyes",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New Eyes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.