Provider Demographics
NPI:1952532657
Name:DR ADAM SCHWARTZ LTD
Entity Type:Organization
Organization Name:DR ADAM SCHWARTZ LTD
Other - Org Name:SCHWARTZ EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:702-823-2121
Mailing Address - Street 1:3016 W CHARLESTON BLVD
Mailing Address - Street 2:SUITE 180
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-1977
Mailing Address - Country:US
Mailing Address - Phone:792-823-2121
Mailing Address - Fax:
Practice Address - Street 1:3016 W CHARLESTON BLVD
Practice Address - Street 2:SUITE 180
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-1977
Practice Address - Country:US
Practice Address - Phone:792-823-2121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-30
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV382152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV6411420001Medicare NSC
NVU76934Medicare UPIN
NVCB602AMedicare PIN