Organization Active NPI

Kristina J Rhodes OD LTD

Doing business as revolutionEYES

  • Optometrist
  • Fernley, NV
National Provider Identifier
1235518473
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
686 Issued in NV
Legal business name
KRISTINA J RHODES OD LTD
Doing business as
revolutionEYES
Practice address
415 US Highway 95a S
Unit a
Fernley, NV 89408-9261
Phone
(775) 575-5700
NPI assigned
May 20, 2015
Last updated
Sep 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

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

Authorized official

Name
Dr. Kristina Rhodes, O.D.
Title
President/ Owner
Phone
(775) 338-0883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 686 NV Primary

Addresses

Primary practice location

415 US Highway 95a S
Unit a
Fernley, NV 89408-9261

Mailing address

415 US Highway 95a S
Unit a
Fernley, NV 89408-9261
Phone (775) 338-0883

Other names 1

  • revolutionEYES Doing business as

National Provider Directory

National Provider Directory

Locations

415 US Highway 95A S
Unit A
Fernley, NV 89408
Phone (775) 575-5700

Practitioners & affiliated clinicians

Practitioners 1

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": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1235518473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 US HIGHWAY 95A S",
            "address_2": "UNIT A",
            "city": "FERNLEY",
            "state": "NV",
            "postal_code": "894089261",
            "telephone_number": "775-338-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 US HIGHWAY 95A S",
            "address_2": "UNIT A",
            "city": "FERNLEY",
            "state": "NV",
            "postal_code": "894089261",
            "telephone_number": "775-575-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTINA J RHODES OD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "RHODES",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "775-338-0883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "revolutionEYES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fernley, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.