Optic Gallery Blue Diamond Inc
NPI 1972019867 · Optometrist · Las Vegas, NV
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Optic Gallery Blue Diamond Inc is a Optometrist organization in Las Vegas, NV (NPI 1972019867).
Provider details
- NPI number
- 1972019867
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Elizabeth Peguese, Optometrist(702) 710-3937
- License
- 820 (NV)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Optic Gallery
Registry dates
- Enumerated
- 2017-12-14
- Last updated
- 2017-12-14
Frequently asked questions
- What is Optic Gallery Blue Diamond Inc's NPI number?
- Optic Gallery Blue Diamond Inc's National Provider Identifier (NPI) is 1972019867, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Optic Gallery Blue Diamond Inc?
- Optic Gallery Blue Diamond Inc is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Optic Gallery Blue Diamond Inc located?
- Optic Gallery Blue Diamond Inc's practice location on file with NPPES is 4860 Blue Diamond Rd Ste 120, Las Vegas, NV 89139-7676.
- What is Optic Gallery Blue Diamond Inc's phone number?
- The practice phone number listed in the NPPES registry for Optic Gallery Blue Diamond Inc is (702) 710-3937.
- Does Optic Gallery Blue Diamond Inc accept Medicare?
- Optic Gallery Blue Diamond Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Optic Gallery Blue Diamond Inc?
- The authorized official listed on Optic Gallery Blue Diamond Inc's NPPES record is Elizabeth Peguese, Optometrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Optic Gallery Blue Diamond Inc's NPI active?
- Yes — Optic Gallery Blue Diamond Inc's NPI (1972019867) is active in the NPPES registry as of the last update on 2017-12-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.