Organization Active NPI

Erika Duggan OD,PC

  • Optometrist
  • Henderson, NV
National Provider Identifier
1992072037
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
501 Issued in NV
Legal business name
ERIKA DUGGAN OD,PC
Practice address
10120 S Eastern Ave Ste 165
Henderson, NV 89052-3926
Phone
(702) 456-9585
Fax
(702) 456-0011
NPI assigned
Nov 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Authorized official

Name
Erika Duggan, O.D.NPI 1790738870
Title
President
Phone
(702) 456-9585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 501 NV Primary

Addresses

Primary practice location

10120 S Eastern Ave Ste 165
Henderson, NV 89052-3926

Mailing address

10120 S Eastern Ave Ste 165
Henderson, NV 89052-3926
Phone (702) 456-9585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120207000156 NV Part B Supplier - Clinic/Group Practice 8224295027 Receives reassigned benefits from 1 practitioner
Practice locations: Henderson, NV

National Provider Directory

National Provider Directory
Tax ID family
Erika Duggan2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10120 S Eastern Ave
Ste 165
Henderson, NV 89052
Phone (702) 456-9585

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1992072037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10120 S EASTERN AVE STE 165",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523926",
            "telephone_number": "702-456-9585",
            "fax_number": "702-456-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10120 S EASTERN AVE STE 165",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523926",
            "telephone_number": "702-456-9585",
            "fax_number": "702-456-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIKA DUGGAN OD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-17",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-456-9585",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.