Optic Gallery Pahrump LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

OPTIC GALLERY PAHRUMP LLC

Practice address

150 S Nevada Highway 160 Ste C14
Pahrump, NV 89048-2176

Phone

(775) 997-2020

Fax

(775) 540-0009

NPI assigned

May 16, 2024

Organization subpart

No

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

Authorized official

Name

Justin NG, ODNPI 1902420656

Title

Owner

Phone

(415) 490-8427

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 2

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

• Justin NG, OD

  • Optometrist
  • Pahrump, NV
  • NPI 1902420656
  Medicare reassignment Care Compare group NPD Authorized official
• Tracy Tran, OD

  • Optometrist
  • Atlanta, GA
  • NPI 1528683356

  NV

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1982453460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S NEVADA HIGHWAY 160 STE C14",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890482176",
            "telephone_number": "775-997-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S NEVADA HIGHWAY 160 STE C14",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890482176",
            "telephone_number": "775-997-2020",
            "fax_number": "775-540-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIC GALLERY PAHRUMP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "NG",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-490-8427",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Olson
• Katherine Lynn Olson, CRT
• Sharon A Olson, R.PH.
• Omuc LLC
• Danielle Onaindia
• Orthopaedic Solutions LLC
• Sharon Ann Oster, PT
• Ovation Physical Therapy LLC
• Owl Light Counseling LLC
• Pahrump Community Health Center

• Optometrist in Pahrump, NV
• Providers in Pahrump, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.