Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Optic Gallery Blue Diamond Inc

Organization Optometrist · NPI 1972019867

Optic Gallery Blue Diamond Inc is an Optometrist in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2017.

Licensed in
NV
In the registry since
2017
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4860 Blue Diamond Rd Ste 120
Las Vegas, NV 89139-7676
Phone: (702) 710-3937
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 820 (NV)

Record details

NPI number1972019867
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Peguese — Optometrist · (702) 710-3937
Other names Optic Gallery
NPI enumeratedDecember 14, 2017
Last updated in NPPESDecember 14, 2017
Mailing address4860 Blue Diamond Rd Ste 120, Las Vegas, NV 89139-7676

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