DR. ALLEN BRADFORD THACH (MD) – Ophthalmology Physician, NPI 1457305625

DR. ALLEN BRADFORD THACH (MD) is a healthcare provider. based in Las vegas, Nevada. specializing in Ophthalmology Physician. They hold the professional credentials MD. They hold a License No. 10505 (NV). The NPI Number for DR. ALLEN BRADFORD THACH (MD) is 1457305625

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALLEN BRADFORD THACH (MD)
NPI
1457305625
Phone
(702) 369-0200
Address
653 N TOWN CENTER DRIVE
Enumeration Date
20 May 2006
Last Update Date
17 August 2018

Doctor Profile

Medical School Name
UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Secondary Phone
7023690200
Graduation Year
1984 (42 years ago)
PAC ID
5890686141
Group Practice PAC ID
5193616449
Professional Enrollment ID
I20040405001706
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. ALLEN BRADFORD THACH (MD)

  • Las Vegas Dermatology, 653, North Town Center Drive, The Canyons, Summerlin North, Summerlin South, Las Vegas, Clark County, Nevada, 89144, United States

    SUITE 518

    LAS VEGAS, NV 89144

    Phone: (702) 369-0200

    Fax: (702) 243-8383

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89144)

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Provider's Procedures

DR. ALLEN BRADFORD THACH (MD) performs procedures in Ophthalmology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYNV92134Diagnostic imaging of retina27021213

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193616449View full group profile
NameSpecialtyState
O P H T H A L M O L O G YNV
O P H T H A L M O L O G YNV
O P H T H A L M O L O G YNV
Ophthalmology, Plastic And Reconstructive SurgeryTX
-NV
O P H T H A L M O L O G YNV
O P T O M E T R YNV
O P H T H A L M O L O G YNE
O P H T H A L M O L O G YNV
O P H T H A L M O L O G YNV

Reviews

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Frequently asked questions

How do I look up DR. ALLEN BRADFORD THACH (MD) by NPI?
Use NPI 1457305625 when you need to reference DR. ALLEN BRADFORD THACH (MD) in forms, claims, or directories.
Is DR. ALLEN BRADFORD THACH (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. ALLEN BRADFORD THACH (MD) treat or focus on?
Patients typically see DR. ALLEN BRADFORD THACH (MD) under the specialty Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. ALLEN BRADFORD THACH (MD)?
The snapshot lists Las Vegas, Nevada for DR. ALLEN BRADFORD THACH (MD); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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