Organization Active NPI

Tapan R Shah, MD, LTD

Doing business as Avista Eye Center

  • Ophthalmology Physician
  • Las Vegas, NV
National Provider Identifier
1902903503
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
TAPAN R SHAH, MD, LTD
Doing business as
Avista Eye Center
Practice address
3100 W Charleston Blvd
#200
Las Vegas, NV 89102-1900
Phone
(702) 258-2020
Fax
(702) 258-3681
NPI assigned
Sep 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Tapan R Shah, MDNPI 1508820200
Title
Owner
Phone
(702) 258-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

3100 W Charleston Blvd
#200
Las Vegas, NV 89102-1900

Mailing address

3100 W Charleston Blvd
#200
Las Vegas, NV 89102-1900
Phone (702) 258-2020

Other names 1

  • AVISTA EYE CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

3100 W Charleston Blvd
Ste 200
Las Vegas, NV 89102
Phone (702) 258-2020

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902903503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 W CHARLESTON BLVD",
            "address_2": "#200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021900",
            "telephone_number": "702-258-2020",
            "fax_number": "702-258-3681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 W CHARLESTON BLVD",
            "address_2": "#200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021900",
            "telephone_number": "702-258-2020",
            "fax_number": "702-258-3681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAPAN R SHAH, MD, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "TAPAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-258-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AVISTA EYE CENTER",
            "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 Aug 22, 2020; 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.