Active NPI
Mark I Ohriner, O.D.
- Optometrist
- Las Vegas, NV
National Provider Identifier
1922053784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 249
- Practice address
- 4675 W Flamingo Rd
Las Vegas, NV 89103-3795 - Phone
- (702) 364-1252
- Fax
- (702) 852-5738
- NPI assigned
- May 23, 2006
- Sex
- Male
- 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 | 249 | NV | Primary |
Addresses
Primary practice location
4675 W Flamingo Rd
Las Vegas, NV 89103-3795
Mailing address
4675 W Flamingo Rd
Las Vegas, NV 89103-3795
Phone (702) 364-1252
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5811 | Other | NV | DAVIS VISION |
| MO20273 | Other | NV | SPECTERA |
| NV0249 | Other | NV | EYEMED |
| 002502012 | Medicaid | NV | |
| 1922053784 | Other | NV | AETNA |
| IP0031 | Other | NV | EYEQUEST |
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4675 W Flamingo Rd
Las Vegas, NV 89103-3795
Phone (702) 364-1252
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 249 | NV | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark Ohriner OD LTD | Optometrist | Current | Accepting new patients |
| Mark Ohriner OD LTD | Optometrist | Current | Accepting new patients |
Locations
4675 W Flamingo Rd
Las Vegas, NV 89103
Phone (702) 364-1252
4675 W Flamingo Rd
Ste 1
Las Vegas, NV 89103
Phone (702) 362-3900
Organizations & group practices 3
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 1538191705
-
dba Southwest Eye Institute
- Ophthalmology Physician
- Las Vegas, NV
- NPI 1568439784
-
- Optometrist
- Las Vegas, NV
- NPI 1043244767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628121600000",
"number": "1922053784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4675 W FLAMINGO RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891033795",
"telephone_number": "702-364-1252",
"fax_number": "702-852-5738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4675 W FLAMINGO RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891033795",
"telephone_number": "702-364-1252",
"fax_number": "702-852-5738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OHRINER",
"first_name": "MARK",
"middle_name": "I",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2021-08-05",
"certification_date": "2021-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NV",
"license": "249",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "5811",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA",
"identifier": "MO20273",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "NV0249",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002502012",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1922053784",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEQUEST",
"identifier": "IP0031",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
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 5, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.