NPIMap

Organization Active NPI

Marietta Nelson CHTD

Doing business as Eye Clinic of Las Vegas

  • Ophthalmology Physician
  • Las Vegas, NV
National Provider Identifier
1952760480
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
5471 Issued in NV
Legal business name
MARIETTA NELSON CHTD
Doing business as
Eye Clinic of Las Vegas
Practice address
3100 W Charleston Blvd Ste 204
Las Vegas, NV 89102-1996
Phone
(702) 384-2020
Fax
(702) 384-6371
NPI assigned
Feb 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

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

Authorized official

Name
Dr. Nelson Nerveza Lopez, DONPI 1528299377
Title
Physician
Phone
(702) 384-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 5471 NV Primary

Addresses

Primary practice location

3100 W Charleston Blvd Ste 204
Las Vegas, NV 89102-1996

Mailing address

3100 W Charleston Blvd Ste 204
Las Vegas, NV 89102-1996
Phone (702) 384-2020

Other names 1

  • Eye Clinic of Las Vegas Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455148800000",
    "number": "1952760480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 W CHARLESTON BLVD STE 204",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021996",
            "telephone_number": "702-384-2020",
            "fax_number": "702-384-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 W CHARLESTON BLVD STE 204",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021996",
            "telephone_number": "702-384-2020",
            "fax_number": "702-384-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIETTA NELSON CHTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-02-11",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "NELSON",
        "authorized_official_middle_name": "NERVEZA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "702-384-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "5471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Clinic of Las Vegas",
            "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 Feb 11, 2016; 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.