DESERT MEDICAL EYE CENTER OPTICAL SHOP (NPI# 1568422335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568422335 |
| Entity Type | Organization |
| Organization Name | DESERT MEDICAL EYE CENTER OPTICAL SHOP |
| Practice Address |
4324 S Eastern Ave Suite A Las Vegas NV 89119-6016 |
| Practice Telephone | 7027349585 |
| Practice Fax Number | 7027349518 |
| Mailing Telephone | 7027349585 |
| Mailing Fax Number | 7027349518 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2008-08-11 |
| Authorized Official Name | DR. JUDY M CRAYTHORN (OWNER/DIRECTOR) |
| Authorized Official Telephone | 7027349585 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 5468 | NV | Suppliers |
| Street Address |
4324 S EASTERN AVE SUITE A |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89119-6016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669089298 | Jennifer Chavon Cruse | Technician | [email protected], 1775 East Tropicana Avenue 16-b, Las Vegas, NV 89119 | 2020-09-28 |
| 1063024214 | Rosa Isela Martinez Gonzalez | Technician | 4324 S. Eastern Ave. Ste. B, Las Vegas, NV 89119 | 2020-08-19 |
| 1720697980 | Christian Scott | Social Worker | 4055 Spencer St #118, Las Vegas, NV 89119 | 2020-07-23 |
| 1245867159 | Starfruit Holdings, LLC | Skilled Nursing Facility | 4375 S Eastern Ave, Paradise, NV 89119 | 2020-03-23 |
| 1215562376 | Phyllis Eberechukwu Hunt | Adult Companion | 5160 Tamarus St Appt 17, Las Vegas, NV 89119 | 2020-03-10 |
| 1841832581 | Legna Carrillo | Adult Companion | 4325 South Bruce St Appt 63, Las Vegas, NV 89119 | 2019-10-15 |
| 1104468339 | Alma Leticia Salazar | Home Health Aide | Safe At Home, LLC, 1775 E. Tropicana Ave. Suit 16-b, Las Vegas, NV 89119 | 2019-10-09 |
| 1083260046 | Araceli Rosas Vargas | Technician | 5160 S. Eastern Ave, Suite E, Las Vegas, NV 89119 | 2019-08-15 |
| 1376197707 | Bristure Clayton | Technician | Safe At Home LLC, 1775 E Tropicana Ave Ste 16, Las Vegas, NV 89119 | 2019-07-24 |
| 1457904534 | Carmen Laura Gonzalez Valenzuela | Chore Provider | 6725-1 S. Eastern Ave, Las Vegas, NV 89119 | 2019-07-18 |
| Find all providers in zip 89119 | ||||
| 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 |
|---|---|---|---|---|
| 1912569203 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1980 Festival Plaza Dr Spc J200, Las Vegas, NV 89135-2927 | 2019-07-08 |
| 1396229399 | Usv Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 8025 S Rainbow Blvd Ste 104, Las Vegas, NV 89139-6495 | 2018-09-17 |
| 1184143109 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 2279 N Rampart Blvd, Las Vegas, NV 89128-7640 | 2017-09-11 |
| 1730567561 | Sunstar Optical | Eyewear Supplier (Equipment, not the service) | 5960 Edmond St, Las Vegas, NV 89118-2856 | 2015-05-13 |
| 1982034724 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 740 S Rampart Blvd Ste 6, Las Vegas, NV 89145-5805 | 2013-11-14 |
| 1649597568 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 4355 S Grand Canyon, Las Vegas, NV 89147-7106 | 2010-05-03 |
| 1790924587 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 3692 Blue Diamond Road, Las Vegas, NV 89139 | 2009-02-18 |
| 1104095801 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 7100 West Arroyo Crossing Pkwy, Las Vegas, NV 89113 | 2008-02-27 |
| 1477745008 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 6436 N. Decatur Blvd, Suite 140-150, Las Vegas, NV 89131 | 2007-08-17 |
| 1053502757 | Sunstar Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 4432 Aldebaran Ave, Las Vegas, NV 89103-4130 | 2007-08-07 |
| Find all providers in LAS VEGAS | ||||
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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.