Organization Active NPI

Doctor Goldeneye LLC

  • Optometrist
  • Reno, NV
National Provider Identifier
1063835155
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
671 Issued in NV
Legal business name
DOCTOR GOLDENEYE LLC
Practice address
501 Keystone Ave
Reno, NV 89503
Phone
(775) 322-3777
Fax
(775) 376-1116
NPI assigned
Jan 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Billy Gales Mendoza, ODNPI 1578874236
Title
Owner, President
Phone
(775) 322-3777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 671 NV Primary

Addresses

Primary practice location

501 Keystone Ave
Reno, NV 89503

Mailing address

PO Box 34032
Reno, NV 89533-4032
Phone (775) 322-3777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140813000540 NV Part B Supplier - Clinic/Group Practice 6002033131 Receives reassigned benefits from 3 practitioners
Practice locations: Reno, NV

National Provider Directory

National Provider Directory

Locations

501 Keystone Ave
Reno, NV 89503
Phone (775) 322-3777

2425 E 2nd St
Ste 1
Reno, NV 89502
Phone (775) 359-8220

2425 E 2nd St
#1
Reno, NV 89502
Phone (775) 359-8220

670 N McCarran Blvd
Sparks, NV 89431
Phone (775) 358-1317

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1063835155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34032",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895334032",
            "telephone_number": "775-322-3777",
            "fax_number": "775-376-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 KEYSTONE AVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89503",
            "telephone_number": "775-322-3777",
            "fax_number": "775-376-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR GOLDENEYE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-27",
        "last_updated": "2025-03-12",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "BILLY",
        "authorized_official_middle_name": "GALES",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "775-322-3777",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.