Individual provider Active NPI

Carolyn Ann Cruvant, M.D.

  • Ophthalmology Physician
  • Las Vegas, NV
National Provider Identifier
1942291448
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
5853 Issued in NV
Practice address
3575 Pecos McLeod
Las Vegas, NV 89121-3803
Phone
(702) 731-2088
Fax
(702) 734-7836
NPI assigned
Nov 2, 2005
Last updated
Mar 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 5853 NV Primary

Addresses

Primary practice location

3575 Pecos McLeod
Las Vegas, NV 89121-3803

Mailing address

50 S Stephanie St Ste 101
Henderson, NV 89012-5731
Phone (702) 202-4776

Other practice location 1

2100 N Rampart Blvd
Las Vegas, NV 89128-7639
Phone (702) 731-2088

Other practice location 2

9100 W Post Rd
Las Vegas, NV 89148-2418
Phone (702) 731-2088

Other practice location 3

6850 N Durango Dr Ste 404
Las Vegas, NV 89149-4598
Phone (702) 731-2088

Other practice location 4

2475 W Horizon Ridge Pkwy Ste 120
Henderson, NV 89052-5946
Phone (702) 731-2088

Other identifiers 1

IdentifierTypeStateIssuer
1942291448MedicaidNV

Other names 1

  • Miss Carolyn Ann Venger Former name

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050928000860 NV Practitioner - Ophthalmology 1557396538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Baylor College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shepherd Eye Center LTDGroup PAC ID 9234125907, 42 clinicians

Practice addresses (Care Compare)

3575 Pecos McLeod
Las Vegas, NV 89121-3803
Phone (702) 731-2088

Merit-based Incentive Payment System (MIPS)

Final score
83.99 of 100Reported as group
Quality
82.33
Improvement activities
40
Cost
79.02

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Shepherd Eye Center, LTD Ophthalmology CurrentSince Apr 1, 2012 Accepting new patients
Shepherd Eye Center, LTD Ophthalmology CurrentSince Apr 1, 2012 Accepting new patients
Nevada Eyepa Ophthalmology Past Accepting new patients

Locations

2475 W Horizon Ridge Pkwy
Ste 120
Henderson, NV 89052
Phone (702) 731-2088

50 S Stephanie St
Ste 101
Henderson, NV 89012

2100 N Rampart Blvd
Las Vegas, NV 89128
Phone (702) 731-2088

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

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

9100 W Post Rd
Las Vegas, NV 89148
Phone (702) 255-6665

Interoperability endpoints

  • Direct secure messaging: carolyn.cruvant.shepherdeye@direct.eye-care.nextgenshare.com
  • Direct secure messaging: ccruvant@cepnv-sec.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1942291448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S STEPHANIE ST STE 101",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890125731",
            "telephone_number": "702-202-4776",
            "fax_number": "702-202-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 PECOS MCLEOD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213803",
            "telephone_number": "702-731-2088",
            "fax_number": "702-734-7836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 N Rampart Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891287639",
            "country_code": "US",
            "telephone_number": "702-731-2088",
            "fax_number": "702-734-7836",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9100 W Post Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891482418",
            "country_code": "US",
            "telephone_number": "702-731-2088",
            "fax_number": "702-734-7836",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6850 N Durango Dr Ste 404",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891494598",
            "country_code": "US",
            "telephone_number": "702-731-2088",
            "fax_number": "702-734-7836",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2475 W Horizon Ridge Pkwy Ste 120",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890525946",
            "country_code": "US",
            "telephone_number": "702-731-2088",
            "fax_number": "702-734-7836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUVANT",
        "first_name": "CAROLYN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "5853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942291448",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "VENGER",
            "middle_name": "ANN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.