Shepherd Eye Center | |
3575 Pecos Mcleod, Las Vegas, NV 89121-3803 | |
(702) 731-2088 | |
Not Available |
Full Name | Shepherd Eye Center |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 3575 Pecos Mcleod, Las Vegas, Nevada |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487604054 | NPI | - | NPPES |
1568032522 | Medicaid | NV | |
1487604054 | Medicaid | NV | |
1902478449 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Aaron Mancuso |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1003901851 PECOS PAC ID: 4486541794 Enrollment ID: I20040316000331 |
Provider Name | Weldon Havins |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1588653364 PECOS PAC ID: 0345221826 Enrollment ID: I20040528001301 |
Provider Name | Rajy Rouweyha |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1306889498 PECOS PAC ID: 9537115548 Enrollment ID: I20050330000618 |
Provider Name | Helga L Pizio |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1053370734 PECOS PAC ID: 9739130659 Enrollment ID: I20050801000470 |
Provider Name | Carolyn A Cruvant |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1942291448 PECOS PAC ID: 1557396538 Enrollment ID: I20050928000860 |
Provider Name | Brad C Stewart |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1497782437 PECOS PAC ID: 1759316748 Enrollment ID: I20050928000929 |
Provider Name | Douglas Orton |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1346249935 PECOS PAC ID: 3577598960 Enrollment ID: I20051005000074 |
Provider Name | Ravindranath K Reddy |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1578514253 PECOS PAC ID: 1052333184 Enrollment ID: I20060113000712 |
Provider Name | Ryan K Peterson |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1902864614 PECOS PAC ID: 9436152758 Enrollment ID: I20060921000006 |
Provider Name | Adam J Rovit |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1225141674 PECOS PAC ID: 5890797492 Enrollment ID: I20070212000241 |
Provider Name | Rene L Zamora |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1417942285 PECOS PAC ID: 2567462443 Enrollment ID: I20070426000274 |
Provider Name | Surjeet Singh |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1013114628 PECOS PAC ID: 1456428812 Enrollment ID: I20080926000248 |
Provider Name | Jeffrey Austin |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1891755930 PECOS PAC ID: 8921161720 Enrollment ID: I20090105000530 |
Provider Name | Vincent A Gassen |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1356340863 PECOS PAC ID: 3779630306 Enrollment ID: I20090416000297 |
Provider Name | Tushina A Reddy |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1154410801 PECOS PAC ID: 9931186798 Enrollment ID: I20090825000199 |
Provider Name | Emily Lockett Fant |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1447346416 PECOS PAC ID: 3971517079 Enrollment ID: I20090910000498 |
Provider Name | Robert Taylor |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1154374577 PECOS PAC ID: 0648163220 Enrollment ID: I20100818000064 |
Provider Name | Steven Neal Montgomery |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1790736031 PECOS PAC ID: 4284618588 Enrollment ID: I20100818000229 |
Provider Name | Steven Owen Hansen |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1093766339 PECOS PAC ID: 9931183233 Enrollment ID: I20100818000312 |
Provider Name | Mark Stradling |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1982874509 PECOS PAC ID: 7810177995 Enrollment ID: I20110207000427 |
Provider Name | Peter W Debry |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1831137991 PECOS PAC ID: 8921272501 Enrollment ID: I20111116000560 |
Provider Name | Darrick W Neibaur |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1134375918 PECOS PAC ID: 5092963454 Enrollment ID: I20120911000134 |
Provider Name | Ksenia A Stafeeva |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1689838427 PECOS PAC ID: 3870756836 Enrollment ID: I20131227001312 |
Provider Name | Libby K Kristal |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1326240144 PECOS PAC ID: 8921019456 Enrollment ID: I20140224000986 |
Provider Name | Raymond B Theodosis |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1730409566 PECOS PAC ID: 6800019894 Enrollment ID: I20140520001253 |
Provider Name | Brian Alder |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1437318409 PECOS PAC ID: 2466618475 Enrollment ID: I20140624001829 |
Provider Name | Andy Y Mu |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1629418728 PECOS PAC ID: 0143445593 Enrollment ID: I20140627001099 |
Provider Name | Frank Lee |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1609197532 PECOS PAC ID: 7113144866 Enrollment ID: I20150729008970 |
Provider Name | Andrew Kwong |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1306298898 PECOS PAC ID: 6901177674 Enrollment ID: I20170731001588 |
Provider Name | Joyce H Cassen |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1548214620 PECOS PAC ID: 8921998543 Enrollment ID: I20171005002090 |
Provider Name | Janet Lee |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1366875213 PECOS PAC ID: 0143597732 Enrollment ID: I20180510001375 |
Provider Name | Naomie J Warner |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1871924399 PECOS PAC ID: 1456576008 Enrollment ID: I20180717002065 |
Provider Name | Emily C Schorr |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1841511516 PECOS PAC ID: 1355566480 Enrollment ID: I20180824001433 |
Provider Name | Jacqueline Anne Ecalnir Julio |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1336701788 PECOS PAC ID: 2668895582 Enrollment ID: I20200710002770 |
Provider Name | Stephanie Oh |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1871155168 PECOS PAC ID: 0941611206 Enrollment ID: I20201118001441 |
Provider Name | Devasis Nolinikant Reddy |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1215457478 PECOS PAC ID: 9638440142 Enrollment ID: I20210630002384 |
Provider Name | James Andrew Ho |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1073034898 PECOS PAC ID: 6305119363 Enrollment ID: I20220601002086 |
Provider Name | Parisah Moghaddampour |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1992361489 PECOS PAC ID: 4486015328 Enrollment ID: I20230725002996 |
Provider Name | Marshall Dallas Hill |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1447610100 PECOS PAC ID: 8628510294 Enrollment ID: I20240611001713 |
Mailing Address | Practice Location Address |
---|---|
Shepherd Eye Center 2850 W Horizon Ridge Pkwy Ste 300, Henderson, NV 89052-4395 Ph: (702) 202-4776 | Shepherd Eye Center 3575 Pecos Mcleod, Las Vegas, NV 89121-3803 Ph: (702) 731-2088 |