Medical Credentialing Solutions LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

DO1810 Issued in NV

Legal business name

MEDICAL CREDENTIALING SOLUTIONS LLC

Doing business as

Oasys Eye Centers LLC

Practice address

4845 S Rainbow Blvd
Suite 401
Las Vegas, NV 89103-4916

Phone

(702) 475-8400

Fax

(702) 475-5005

NPI assigned

Dec 15, 2016

Organization subpart

No

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

Authorized official

Name

Robert Johnson

Title

Mba

Phone

(702) 475-8400

Specialties & licenses 1

Addresses

Other names 1

• Oasys Eye Centers LLC Doing business as

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1942744552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 TETON VISTA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891176736",
            "telephone_number": "702-475-8400",
            "fax_number": "702-475-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4845 S RAINBOW BLVD",
            "address_2": "SUITE 401",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891034916",
            "telephone_number": "702-475-8400",
            "fax_number": "702-475-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CREDENTIALING SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-15",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MBA",
        "authorized_official_telephone_number": "702-475-8400"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "DO1810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oasys Eye Centers LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ophthalmology Physician in Las Vegas, NV
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• Ophthalmology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.