Active NPI
Kathleen E Fletcher, O.D.
- Optometrist
- North Las Vegas, NV
National Provider Identifier
1902596216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1158
- Practice address
- 2225 Civic Center Dr
North Las Vegas, NV 89030-6338 - Phone
- (702) 732-2020
- NPI assigned
- May 10, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1158 | NV | Primary |
Addresses
Primary practice location
2225 Civic Center Dr
North Las Vegas, NV 89030-6338
Mailing address
4180 S Durango Dr
Las Vegas, NV 89147-8600
Phone (702) 732-2020
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230523002357 | NV | Order and Referring Only - Optometry | 2860858479 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1158 | NV | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harvey Ohriner OD LTD | Optometrist | Current | Accepting new patients |
Locations
4180 S Durango Dr
Las Vegas, NV 89147
Phone (702) 732-2020
Organizations & group practices 1
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.
-
- Optometrist
- Las Vegas, NV
- NPI 1518185859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683676800000",
"number": "1902596216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4180 S DURANGO DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891478600",
"telephone_number": "702-732-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2225 CIVIC CENTER DR",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890306338",
"telephone_number": "702-732-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "KATHLEEN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-10",
"last_updated": "2023-05-10",
"certification_date": "2023-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NV",
"license": "1158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.