Individual provider Active NPI

Jeremy Thomas Einowski, DOCTOR OF OPTOMETRY

  • Optometrist
  • Fernley, NV
National Provider Identifier
1194386409
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1027 Issued in NV
Practice address
198 E Main St
Fernley, NV 89408-7741
Phone
(775) 575-1966
NPI assigned
Jun 26, 2019
Sex
Male
Sole proprietor
No

Organizations & group practices 5

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

Medicare Care Compare profile

Specialty
Optometry
Education
Pacific University - College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robertson and Koenig LTD (5 clinicians)

Practice addresses (Care Compare)

6 Pine Cone Rd
Suite 6
Dayton, NV 89403-8589
Phone (775) 285-7573

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery37

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20190910002961 NV Practitioner - Optometry 4688903065 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
1027NVMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Robertson & Koenig LTD Optometrist Current
since Jul 1, 2019
Accepting new patients
Robertson & Koenig,LTD Optometrist Current
since Jul 1, 2019
Accepting new patients
Robertson & Koenig, LTD Optometrist Current Accepting new patients
Yerington Paiute Tribal Council Current
since Aug 25, 2024
Accepting new patients
Robertson & Koenig, LTD Optometrist Past Accepting new patients

Locations

6 Pine Cone Rd
Ste 6
Dayton, NV 89403
Phone (775) 285-7573

65 N Taylor St
Fallon, NV 89406
Phone (775) 423-8024

198 E Main St
Fernley, NV 89408
Phone (775) 575-1966

233 S Main St
Yerington, NV 89447
Phone (775) 463-2020

171 Campbell Ln
Yerington, NV 89447
Phone (775) 463-3335

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1027 NV Primary

Addresses

NPPES NPI Registry

Primary practice location

198 E Main St
Fernley, NV 89408-7741

Mailing address

198 E Main St
Fernley, NV 89408-7741
Phone (775) 575-1966

Other practice location 1

233 S Main St
Yerington, NV 89447-2536
Phone (775) 463-2020

Other practice location 2

65 N Taylor St
Fallon, NV 89406-2750
Phone (775) 423-8024

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 26, 2019.

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1194386409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 E MAIN ST",
            "city": "FERNLEY",
            "state": "NV",
            "postal_code": "894087741",
            "telephone_number": "775-575-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 E MAIN ST",
            "city": "FERNLEY",
            "state": "NV",
            "postal_code": "894087741",
            "telephone_number": "775-575-1966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "233 S Main St",
            "address_purpose": "LOCATION",
            "city": "Yerington",
            "state": "NV",
            "postal_code": "894472536",
            "country_code": "US",
            "telephone_number": "775-463-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 N Taylor St",
            "address_purpose": "LOCATION",
            "city": "Fallon",
            "state": "NV",
            "postal_code": "894062750",
            "country_code": "US",
            "telephone_number": "775-423-8024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EINOWSKI",
        "first_name": "JEREMY",
        "middle_name": "THOMAS",
        "credential": "DOCTOR OF OPTOMETRY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "1027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernley, NV

Sources for this page

Verify at the official NPI Registry.