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OPTIC GALLERY
NPI 1992123244
Optometrist in Las Vegas, NV

Active since April 03, 2014
5705 CENTENNIAL CENTER BLVD, SUITE 150, LAS VEGAS, NV 89149(702) 868-2020(702) 655-2050 Get Directions Write a Review

NPPES record last updated: January 30, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Optic Gallery NPPES

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

OPTIC GALLERY (NPI 1992123244) is a healthcare organization registered as an optometrist in Las Vegas, Nevada and active in the NPI registry since April 2014. The organization lists Jessica Rose Clymer, Manager, as its authorized official.

NPPES Registry Identity

NPI1992123244
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameOPTIC GALLERY CENTENNIAL INC
Location Address5705 CENTENNIAL CENTER BLVD, SUITE 150Las Vegas, NV 89149-7128
Mailing Address5705 Centennial Center Blvd, Suite 150Las Vegas, NV 89149-7128 · (702) 868-2020 · Fax (702) 655-2050
Phone(702) 868-2020
Fax(702) 655-2050
Organization SubpartNo
Authorized OfficialJessica Rose ClymerManager · (702) 868-2020
Enumeration DateApril 3, 2014
Last NPPES UpdateJanuary 30, 2015
✔ NPI 1992123244 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 · 632
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.
5705 CENTENNIAL CENTER BLVD, Las Vegas, NV 89149
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Other Names 1

Doing Business AsOptic Gallery

Other Identifiers 1

Medicare PINBH022YNV

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 Ambetter from Arizona Complete Health, Ambetter Health, Anthem Blue Cross and Blue Shield 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

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Optic Gallery, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Todd Hartman, O.D.
Optometry
NPI 1336226356
5705 CENTENNIAL CENTER BLVD SUITE 150
Las Vegas, NV 89149
(702) 868-2020
✔ PECOS✔ Accepts MedicareSame address
Erin Frillarte, O.D.
Optometry
NPI 1417212481
9560 W SKYE CANYON PARK DR STE 180
Las Vegas, NV 89166
(702) 872-2020
✔ PECOS✔ Accepts Medicare4.2 mi
Cindy Trinh, OD
Optometry
NPI 1164908679
7361 W LAKE MEAD BLVD STE 104
Las Vegas, NV 89128
(702) 452-2020
✔ PECOS4.9 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 Centennial Inc's NPI number?

The NPI number for Optic Gallery Centennial Inc is 1992123244. It was assigned to this organization in the NPPES registry on April 3, 2014. The provider is doing business as Optic Gallery.

Where is Optic Gallery Centennial Inc located?

Optic Gallery Centennial Inc is located at 5705 Centennial Center Blvd Suite 150, Las Vegas, NV 89149. The listed phone number is (702) 868-2020.

What is Optic Gallery Centennial Inc's specialty?

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

Is Optic Gallery Centennial Inc enrolled in Medicare?

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

How many clinicians bill Medicare through Optic Gallery Centennial Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Optic Gallery Centennial 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Optic Gallery Centennial Inc accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 4 other insurers list Optic Gallery Centennial 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 Centennial Inc was last updated on January 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.