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OPTIC GALLERY
NPI 1972019867
Optometrist in Las Vegas, NV

Active since December 14, 2017
4860 BLUE DIAMOND RD STE 120, LAS VEGAS, NV 89139(702) 710-3937 Get Directions Write a Review

NPPES record last updated: December 14, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Optic Gallery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OPTIC GALLERY (NPI 1972019867) is a healthcare organization registered as an optometrist in Las Vegas, Nevada and active in the NPI registry since December 2017. The organization lists Elizabeth Peguese, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1972019867
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameOPTIC GALLERY BLUE DIAMOND INC
Location Address4860 BLUE DIAMOND RD STE 120Las Vegas, NV 89139-7676
Mailing Address4860 Blue Diamond Rd Ste 120Las Vegas, NV 89139-7676 · (702) 710-3937
Phone(702) 710-3937
Organization SubpartNo
Authorized OfficialElizabeth PegueseOptometrist · (702) 710-3937
Enumeration DateDecember 14, 2017
✔ NPI 1972019867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NV · 820
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
4860 BLUE DIAMOND RD STE 120, Las Vegas, NV 89139
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Other Names 1

Doing Business AsOptic Gallery

Other Identifiers 1

Medicaid1740689975NV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Optic Gallery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Optic Gallery, which bills Medicare for the services this clinician delivers.

Clinician (1)

Elizabeth Peguese, OD
Optometry
NPI 1740689975
505 J DAVIS ARMISTEAD BLDG
Houston, TX 77204
(713) 743-2020
✔ PECOS✔ Accepts Medicare1,232 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Optic Gallery Blue Diamond Inc's NPI number?

The NPI number for Optic Gallery Blue Diamond Inc is 1972019867. It was assigned to this organization in the NPPES registry on December 14, 2017. The provider is doing business as Optic Gallery.

Where is Optic Gallery Blue Diamond Inc located?

Optic Gallery Blue Diamond Inc is located at 4860 Blue Diamond Rd Ste 120, Las Vegas, NV 89139. The listed phone number is (702) 710-3937.

What is Optic Gallery Blue Diamond Inc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Optic Gallery Blue Diamond Inc enrolled in Medicare?

Yes. Optic Gallery Blue Diamond Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Optic Gallery Blue Diamond Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Optic Gallery Blue Diamond Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Optic Gallery Blue Diamond Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Optic Gallery Blue Diamond Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Optic Gallery Blue Diamond Inc was last updated on December 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.