Reno Family Eye Care R Andrew Boren OD a Professional Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

354 Issued in NV

Legal business name

RENO FAMILY EYE CARE R ANDREW BOREN OD A PROFESSIONAL CORPORATION

Practice address

6360 Mae Anne Ave.
Suite 1
Reno, NV 89523-4710

Phone

(775) 787-9137

Fax

(775) 323-3652

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Richard Andrew Boren, O.D.NPI 1013067099

Title

President

Phone

(775) 787-9137

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NV2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Andrew Boren, O.D.

  • Optometrist
  • Reno, NV
  • NPI 1013067099
  Medicare reassignment Care Compare group NPD Authorized official
• Kallie Ann Kappes, O.D.

  • Optometrist
  • Reno, NV
  • NPI 1265915961
  Medicare reassignment Care Compare group NPD
• Mariah Smith, OD

  • Optometrist
  • Reno, NV
  • NPI 1669727293
  Medicare reassignment Care Compare group NPD
• Cynthia Ann Solberg

  • Optometrist
  • Reno, NV
  • NPI 1134289002
  Medicare reassignment Care Compare group NPD
• Courtney Lynn Reed, O.D.

  • Optometrist
  • Reno, NV
  • NPI 1184632481
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1295957645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 MAE ANNE AVE.",
            "address_2": "SUITE 1",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895234710",
            "telephone_number": "775-787-9137",
            "fax_number": "775-323-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 MAE ANNE AVE.",
            "address_2": "SUITE 1",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895234710",
            "telephone_number": "775-787-9137",
            "fax_number": "775-323-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENO FAMILY EYE CARE R ANDREW BOREN OD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "BOREN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-787-9137",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "354",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NV",
            "license": "354",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "NV",
            "license": "354",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "NV",
            "license": "354",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Reno, NV
• Providers in Reno, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.