MARIETTA NELSON CHTD (NPI# 1952760480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952760480 |
| Entity Type | Organization |
| Organization Name | MARIETTA NELSON CHTD |
| Other Organization Name | EYE CLINIC OF LAS VEGAS |
| Practice Address |
3100 W Charleston Blvd Ste 204 Las Vegas NV 89102-1996 |
| Practice Telephone | 7023842020 |
| Practice Fax Number | 7023846371 |
| Mailing Telephone | 7023842020 |
| Mailing Fax Number | 7023846371 |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2016-02-11 |
| Authorized Official Name | DR. NELSON NERVEZA LOPEZ (PHYSICIAN) |
| Authorized Official Telephone | 7023842020 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 5471 | NV | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Eye Clinic of Las Vegas | Doing Business As Name - Organization |
| Street Address |
3100 W CHARLESTON BLVD STE 204 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89102-1996 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528299377 | Nelson Nerveza Lopez | Ophthalmology | 3100 W Charleston Blvd Ste 204, Las Vegas, NV 89102-1996 | 2009-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998397 | Natasha Moore | Technician | 3210 W Charleston Suite 2, Las Vegas, NV 89102 | 2020-10-07 |
| 1568077113 | Zulma Yaneth Tervizo Lopez | Technician | 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 | 2020-09-10 |
| 1922629765 | Bianca Vaudreuil | Religious Nonmedical Practitioner | 3210 W Charleston Ste 2, Las Vegas, NV 89102 | 2020-05-04 |
| 1720608052 | Angelica Gutierrez | Technician | Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 | 2020-04-16 |
| 1396370680 | Juana Maria Hernandez | Technician | 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 | 2020-03-06 |
| 1609409648 | Janie Washington | Technician | 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 | 2020-02-18 |
| 1447893185 | Maria Josefina Castaneda | Technician | 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 | 2019-10-25 |
| 1427608777 | Virginia Hernandez Tolentino | Technician | 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 | 2019-09-18 |
| 1972153872 | Gladiola Cardoza Quinones | Technician | 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 | 2019-09-13 |
| 1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
| Find all providers in zip 89102 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265084073 | Trinoveon Corporation | Ophthalmology | 2700 Las Vegas Blvd S Unit 4105, Las Vegas, NV 89109-1174 | 2019-07-11 |
| 1558825687 | Eyecare Associates | Ophthalmology | 2010 Festival Plaza Dr Ste 195, Las Vegas, NV 89135-1455 | 2019-01-23 |
| 1164800827 | Tigran Kostanyan | Ophthalmology | 2110 E Flamingo Rd Ste 210, Las Vegas, NV 89119-5193 | 2015-05-14 |
| 1003251950 | Matthew Swanic M.d., Pllc | Ophthalmology | 9555 S Eastern Ave Ste 250, Las Vegas, NV 89123-8008 | 2013-05-06 |
| 1487914099 | Mazeyar Saboori | Ophthalmology | 5556 S Fort Apache Rd, Las Vegas, NV 89148-7696 | 2012-05-17 |
| 1417214313 | Wonchon Lin | Ophthalmology | 5380 S Rainbow Blvd Ste 108, Las Vegas, NV 89118-1878 | 2012-04-16 |
| 1679839690 | Janice E Eggert Md Ltd | Ophthalmology | 1771 E Flamingo Rd Ste 214a, Las Vegas, NV 89119-0850 | 2012-04-03 |
| 1497023105 | Leslie M Sims Md Pllc | Ophthalmology | 9360 W Flamingo Rd Ste 110, Las Vegas, NV 89147-6446 | 2011-12-08 |
| 1528299377 | Nelson Nerveza Lopez | Ophthalmology | 3100 W Charleston Blvd Ste 204, Las Vegas, NV 89102-1996 | 2009-07-28 |
| 1578791372 | Tyson S.j. Ward | Ophthalmology | 6980 Smoke Ranch Rd Ste 110, Las Vegas, NV 89128-8606 | 2009-06-30 |
| 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.