Individual provider Active NPI

Deborah Jean Ward, OD

  • Optometrist
  • Reno, NV
National Provider Identifier
1194872853
Registry record updated Aug 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
309 Issued in NV
Practice address
620 Sierra Rose Dr
Reno, NV 89511-2072
Phone
(775) 689-4519
Fax
(775) 829-2018
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 309 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
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090106000264 NV Practitioner - Optometry 2365505104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilson, Conkey and Associates P.C.Group PAC ID 0446299846, 9 clinicians

Practice addresses (Care Compare)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
309NVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wilson, Conkey & Associates, P.C. Optometrist CurrentSince Jan 5, 2009 Accepting new patients
Wilson, Conkey & Associates, P.C. Optometrist CurrentSince Jan 5, 2009 Accepting new patients

Locations

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250467200000",
    "number": "1194872853",
    "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",
            "fax_number": "775-829-2018"
        },
        {
            "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",
            "fax_number": "775-829-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "DEBORAH",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2009-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.