Individual provider Active NPI

Quan Say Vong, OD

  • Optometrist
  • Reno, NV
National Provider Identifier
1114412558
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1030 Issued in NV
Practice address
620 Sierra Rose Dr
Reno, NV 89511-2072
Phone
(775) 689-4519
NPI assigned
Jun 28, 2018
Last updated
May 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1030 NV Primary

Addresses

Primary practice location

620 Sierra Rose Dr
Reno, NV 89511-2072

Mailing address

620 Sierra Rose Dr
Reno, NV 89511-2072
Phone (775) 689-4519

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor Goldeneye LLC Optometrist CurrentSince Oct 1, 2024 Accepting new patients
Wilson, Conkey & Associates, P.C. Optometrist CurrentSince Aug 15, 2020 Accepting new patients
Wilson, Conkey & Associates, P.C. Optometrist CurrentSince Aug 15, 2020 Accepting new patients

Locations

2425 E 2nd St
Reno, NV 89502
Phone (775) 322-3777

620 Sierra Rose Dr
Reno, NV 89511
Phone (775) 689-4519

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1114412558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 SIERRA ROSE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112072",
            "telephone_number": "775-689-4519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 SIERRA ROSE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112072",
            "telephone_number": "775-689-4519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONG",
        "first_name": "QUAN",
        "middle_name": "SAY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-28",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "1030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.