Provider Demographics
NPI:1235255571
Name:CORY T STEED O D PROF CORP
Entity Type:Organization
Organization Name:CORY T STEED O D PROF CORP
Other - Org Name:INSIGHT EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CORY
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:STEED
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:702-207-2222
Mailing Address - Street 1:9435 W RUSSELL RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-5608
Mailing Address - Country:US
Mailing Address - Phone:702-207-2222
Mailing Address - Fax:888-859-4959
Practice Address - Street 1:9435 W RUSSELL RD
Practice Address - Street 2:SUITE 100
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-5608
Practice Address - Country:US
Practice Address - Phone:702-207-2222
Practice Address - Fax:888-859-4959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV0440152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV00265OtherANTHEM BCBS GROUP ID
NV100502583Medicaid
NV1235255571Medicare NSC
NV00265OtherANTHEM BCBS GROUP ID
NVV37877Medicare PIN