DAVIS OPTICAL CENTERS (NPI# 1821275157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821275157 |
| Entity Type | Organization |
| Organization Name | DAVIS OPTICAL CENTERS |
| Practice Address |
5053 S Mccarran Blvd Reno NV 89502-6545 |
| Practice Telephone | 7758261666 |
| Practice Fax Number | 7758261729 |
| Mailing Telephone | 7758261666 |
| Mailing Fax Number | 7758261729 |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2012-11-13 |
| Authorized Official Name | WAYNE DAVIS (OWNER) |
| Authorized Official Telephone | 7758261666 |
| Authorized Official Credential | R.D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 156FC0800X |
Technician/Technologist Specialization: Contact Lens |
102 | NV | Eye and Vision Services Providers |
| N | 156FC0801X |
Technician/Technologist Specialization: Contact Lens Fitter |
102 | NV | Eye and Vision Services Providers |
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
102 | NV | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 004116010 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | DAVIS OPTICAL CENTERS, INC. | 4323 University Way Ne, Seattle, WA 98105 |
| Street Address |
5053 S MCCARRAN BLVD |
| City | RENO |
| State | NV |
| Zip Code | 89502-6545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073779351 | Shane Williamson | Ophthalmology | 5053 S Mccarran Blvd, Reno, NV 89502-6545 | 2008-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314264 | State of Nevada | Community/Behavioral Health | 4600 Kietzke Lane Bldg D, Reno, NV 89502 | 2020-07-23 |
| 1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
| 1396378063 | Domingko Loney | Chore Provider | 1325 Air Motive Wat St 262, Reno, NV 89502 | 2020-02-20 |
| 1053954842 | Derek Craig | Home Health Aide | 1000 Havard Way #29, Reno, NV 89502 | 2019-10-24 |
| 1477108124 | Marisa Rachael Traversie | Nurse Practitioner | 910 Vista Boulevard, Sparks, NV 89502 | 2019-08-08 |
| 1912564675 | Patrick Llewellyn Merrill | Social Worker | 975 Kirman Ave - Ch 116, Reno, NV 89502 | 2019-05-28 |
| 1881154706 | Naresh Kumar Veerabattini | Student in an Organized Health Care Education/Training Program | 1155 Mill St, Renown Regional Medical Center, W11 Academic Department Offices, Reno, NV 89502 | 2019-03-25 |
| 1053899187 | Daphne London | Behavioral Analyst | 1325 Airmotive Way Ste 260, Reno, NV 89502 | 2018-07-31 |
| 1790271609 | Jennifer J Padolina | Optometrist | 2296 Kietzke Ln, Reno, NV 89502 | 2018-07-03 |
| 1336630185 | Lindsey Cherie Cooper | Technician | 3563 Sol Grande Ct, Reno, NV 89502 | 2018-05-27 |
| Find all providers in zip 89502 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730302993 | Michael Erin Grover | Technician/Technologist | 4340 Valdez Way, Reno, NV 89502-4938 | 2007-04-10 |
| 1598808511 | Nevada State Optical, Inc. | Technician/Technologist | 5595 S Virginia St, Suite B, Reno, NV 89502-6085 | 2007-02-15 |
| 1841406691 | Modern Eyes Eyewear Inc | Technician/Technologist | 75 Pringle Way, Ste 503, Reno, NV 89502-1464 | 2007-05-15 |
| 1215069661 | Wal-mart Stores Inc | Technician/Technologist | 2425 E 2nd St, Reno, NV 89502 | 2007-03-12 |
| 1801970025 | Wal-mart Stores, Inc | Technician/Technologist | 5260 W 7th St, Reno, NV 89523-2332 | 2006-10-24 |
| 1679655666 | Wal-mart Stores, Inc | Technician/Technologist | 155 Damonte Ranch Pkwy, Reno, NV 89521-2990 | 2006-10-19 |
| 1861586158 | Sam's Club Optical | Technician/Technologist | 4835 Kietzke Ln, Reno, NV 89509-6549 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497232730 | Tina Kosmach | Technician/Technologist | 7330 Eastgate Rd Ste 130, Henderson, NV 89011-4048 | 2018-07-19 |
| 1811485253 | James Kyles | Technician/Technologist | 4421 Valley Quail Way, North Las Vegas, NV 89084-2629 | 2018-05-01 |
| 1700120136 | Wal-mart Stores Inc | Technician/Technologist | 1511 Grant St, Gardnerville, NV 89410-7824 | 2012-11-26 |
| 1689928608 | Lovejeet Toor | Technician/Technologist | 3230 W Hacienda Ave Ste 301, Las Vegas, NV 89118-1717 | 2012-10-29 |
| 1659624500 | Andrea I Krohn | Technician/Technologist | 1684 Sabatini Dr, Henderson, NV 89052-4109 | 2012-10-16 |
| 1225295934 | James Crimi | Technician/Technologist | 10575 S Eastern Ave, #150, Henderson, NV 89052-5017 | 2008-05-20 |
| 1134240443 | Sean Russell Fericks | Technician/Technologist | 1657 Mountain City Highway, Suite 101, Elko, NV 89801-2459 | 2007-04-03 |
| 1902937402 | Wal-mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 3950 W. Lake Mead Blvd, North Las Vegas, NV 89032 | 2007-03-08 |
| 1063568103 | Gem Optical | Technician/Technologist | 3300 E Flamingo Rd, Suite 20, Las Vegas, NV 89121-4398 | 2007-01-25 |
| 1790840692 | Wal-mart Stores, Inc. | Technician/Technologist | 5198 Boulder Hwy, Las Vegas, NV 89122 | 2006-12-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.