THE EYE DOCTOR AT ST. ROSE LLC (NPI# 1558996546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558996546 |
| Entity Type | Organization |
| Organization Name | THE EYE DOCTOR AT ST. ROSE LLC |
| Other Organization Name | THE EYE DOC AT ST. ROSE |
| Practice Address |
2645 St. Rose Parkway Suite C-110 Henderson NV 89052 |
| Mailing Address |
556 N Eastern Ave Ste A Las Vegas NV 89101-3453 |
| Practice Telephone | 7023857900 |
| Mailing Telephone | 7023857900 |
| Mailing Fax Number | 7023851116 |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-05-27 |
| Authorized Official Name | DR. NATALY GAMMOH (OWNER/OPTOMETRIST) |
| Authorized Official Telephone | 7023857900 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| The Eye Doc at St. Rose | Doing Business As Name - Organization |
| Street Address |
2645 ST. ROSE PARKWAY SUITE C-110 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889112 | Nathan Michael Nasternak | Physical Therapist | 750 Coronado Center Drive, Suite 140, 2212, Henderson, NV 89052 | 2020-10-18 |
| 1558987180 | Braxton Chad Storm | Counselor | 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 | 2020-06-19 |
| 1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
| 1346802568 | Rickie Kwong Chin Jr. | Optometrist | 695 S. Green Valley Pkwy, Henderson, NV 89052 | 2019-07-08 |
| 1134695646 | Nu Smiles, LLC | Clinic/Center | 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 | 2018-10-23 |
| 1003393497 | Katherine Lee Villarreal | Physical Therapist | 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 | 2018-07-27 |
| 1790281889 | Vicki Lorraine Schmidt | Nurse Practitioner | 2900 W. Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052 | 2018-04-05 |
| 1326566969 | Shelby Schiller | Social Worker | 3051 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052 | 2017-09-04 |
| 1639696826 | Pca Ventures, LLC | Technician | 2656 Soda Butte Court, Henderson, NV 89052 | 2017-08-28 |
| 1508303090 | Ghc of Henderson LLC | Skilled Nursing Facility | 2855 W Horizon Ridge Pkwy, Henderson, NV 89052 | 2017-01-23 |
| Find all providers in zip 89052 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013491869 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3411 Saint Rose Pkwy, Henderson, NV 89052-4570 | 2018-09-18 |
| 1508088816 | Eye Options Inc. | Eyewear Supplier (Equipment, not the service) | 2895 N Green Valley Pkwy, Unit D, Henderson, NV 89014-0416 | 2007-05-03 |
| 1679629109 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1300 W Sunset Rd Ste 1617, Henderson, NV 89014-6623 | 2007-01-26 |
| 1558410050 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1245 W Warm Springs Rd, Henderson, NV 89014-8740 | 2007-01-10 |
| 1619032992 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 661 Marks St, Sunmark S/c Ste #c, Henderson, NV 89014-8600 | 2006-12-27 |
| 1649360777 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 681 Mall Ring Circle, Henderson, NV 89014 | 2006-10-12 |
| 1700897097 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1312 West Sunset Rd, Henderson, NV 89014 | 2006-08-11 |
| 1326524653 | Usv Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 1000 N Green Valley Pkwy, Henderson, NV 89074 | 2018-07-19 |
| 1174049191 | Charles L. Heaton, M.d. P.a. | Eyewear Supplier (Equipment, not the service) | 1600 Us Highway 79 S, Henderson, TX 75654-4508 | 2017-08-22 |
| 1568913515 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 695 S Green Valley Pkwy, Henderson, NV 89052-0404 | 2016-10-14 |
| Find all providers in HENDERSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.