Active NPI
Vision Consultants
- Optometrist
- Lovelock, NV
National Provider Identifier
1104479286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- VISION CONSULTANTS
- Practice address
- 855 6TH Street
Lovelock, NV 89419 - Phone
- (775) 375-8869
- NPI assigned
- Jul 18, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregory J Faldowski, O.D.
- Title
- President
- Phone
- (775) 375-8869
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
855 6TH Street
Lovelock, NV 89419
Mailing address
10580 N McCarran Blvd Ste 115-255
Reno, NV 89503-2059
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190123002743 | NV | Part B Supplier - Clinic/Group Practice | 2769729177 |
Receives reassigned benefits from 5 practitioners 29 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Las Vegas, NV |
Other NPIs on the same Medicare enrollment 29
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576368000000",
"number": "1104479286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10580 N MCCARRAN BLVD STE 115-255",
"city": "RENO",
"state": "NV",
"postal_code": "895032059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 6TH STREET",
"city": "LOVELOCK",
"state": "NV",
"postal_code": "89419",
"telephone_number": "775-375-8869"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISION CONSULTANTS",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-18",
"last_updated": "2019-12-15",
"certification_date": "2019-12-15",
"status": "A",
"authorized_official_last_name": "FALDOWSKI",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "775-375-8869",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lovelock, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2019; 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.