SAMUEL MADRID (NPI# 1407418932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407418932 |
| Entity Type | Individual |
| Full Name | SAMUEL MADRID |
| Credential | LICENSED OPTICIAN |
| Practice Address |
5191 W Charleston Blvd Ste 175 Las Vegas NV 89146-1455 |
| Practice Telephone | 7024050744 |
| Mailing Telephone | 7024050744 |
| Enumeration Date | 2019-07-04 |
| Last Update Date | 2019-07-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 156FC0800X |
Technician/Technologist Specialization: Contact Lens |
652 | NV | Eye and Vision Services Providers |
| N | 156FC0801X |
Technician/Technologist Specialization: Contact Lens Fitter |
652 | NV | Eye and Vision Services Providers |
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
652 | NV | Eye and Vision Services Providers |
| Street Address |
5191 W CHARLESTON BLVD STE 175 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89146-1455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607193 | State of Nevada | Community/Behavioral Health | 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 | 2020-07-23 |
| 1730726597 | Jenna Leigh White | Occupational Therapist | 2012 S Jones Blvd., Las Vegas, NV 89146 | 2019-11-28 |
| 1649828898 | Rocio Ferat | Chore Provider | 5000 W. Oakey Suite E.i, Las Vegas, NV 89146 | 2019-08-30 |
| 1912554007 | Juan Zamora | Chore Provider | 5000 W. Oakey Bld Suite E-1, Las Vegas, NV 89146 | 2019-08-22 |
| 1407402530 | Elia Rocio Vargas-sifuentes | Chore Provider | 5000 W Oakey, Suite E.i, Las Vegas, NV 89146 | 2019-08-14 |
| 1740834050 | Zi Wang | Physician Assistant | 5300 Spring Mountain Rd Ste 112, Las Vegas, NV 89146 | 2019-07-25 |
| 1871145565 | Virginia Lopez Lopez | Chore Provider | 5000 W. Oakey Blvd. Suite E-1, Las Vegas, NV 89146 | 2019-07-12 |
| 1962054726 | Nona Sixta Q Baldonado | Technician | 5450 W Sahara Ave Ste 250a, Las Vegas, NV 89146 | 2019-07-11 |
| 1326600701 | Thelma Moreno Cerros | Chore Provider | 5000 W. Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-05 |
| 1992367866 | Carolina Perez | Chore Provider | 5000 W Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-01 |
| Find all providers in zip 89146 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689928608 | Lovejeet Toor | Technician/Technologist | 3230 W Hacienda Ave Ste 301, Las Vegas, NV 89118-1717 | 2012-10-29 |
| 1063568103 | Gem Optical | Technician/Technologist | 3300 E Flamingo Rd, Suite 20, Las Vegas, NV 89121-4398 | 2007-01-25 |
| 1790840692 | Wal-mart Stores, Inc. | Technician/Technologist | 5198 Boulder Hwy, Las Vegas, NV 89122 | 2006-12-22 |
| 1497824593 | Nevada Optical and Publishing Enterprises for Professional LLC | Technician/Technologist | 2400 W Charleston Blvd Ste D, Las Vegas, NV 89102-2152 | 2006-11-06 |
| 1891877437 | Personal Eyes Inc. | Technician/Technologist | 7260 W Lake Mead Blvd Ste 4, Las Vegas, NV 89128-8357 | 2006-10-20 |
| 1821187311 | Wal-mart Stores, Inc | Technician/Technologist | 3075 E Tropicana Ave, Las Vegas, NV 89121-7363 | 2006-10-12 |
| 1548353717 | Wal-mart Stores, Inc | Technician/Technologist | 3625 S Rainbow Blvd, Las Vegas, NV 89103-1064 | 2006-10-02 |
| 1972604080 | Pearle Vision Inc | Technician/Technologist | 3993 S Maryland Pkwy, Las Vegas, NV 89119-7558 | 2006-09-25 |
| 1992806004 | Pearle Vision Inc | Technician/Technologist | 506 S Decatur Blvd Ste A, Las Vegas, NV 89107-3941 | 2006-09-25 |
| 1881192490 | Veinte Veinte Las Vegas LLC | Technician/Technologist | 556 N Eastern Ave Ste A, Las Vegas, NV 89101-3453 | 2018-01-29 |
| 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.