Individual provider Active NPI

Samer Duc Khalil, O.D.

  • Optometrist
  • Reno, NV
National Provider Identifier
1306771803
Registry record updated Jul 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1263 Issued in NV
Practice address
500 W Plumb LN Ste a
Reno, NV 89509-3688
Phone
(775) 284-3937
NPI assigned
Jun 16, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1263 NV Primary

Addresses

Primary practice location

500 W Plumb LN Ste a
Reno, NV 89509-3688

Mailing address

500 W Plumb LN Ste a
Reno, NV 89509-3688
Phone (775) 284-3937

Other practice location 1

1965 Baring Blvd
Sparks, NV 89434-6734
Phone (775) 358-1020

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1001 S Meadows Pkwy
Apt 413
Reno, NV 89521-3975

3333 Quality Dr
Rancho Cordova, CA 95670-7986

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1781568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783814400000",
    "number": "1306771803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W PLUMB LN STE A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895093688",
            "telephone_number": "775-284-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W PLUMB LN STE A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895093688",
            "telephone_number": "775-284-3937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1965 Baring Blvd",
            "address_purpose": "LOCATION",
            "city": "Sparks",
            "state": "NV",
            "postal_code": "894346734",
            "country_code": "US",
            "telephone_number": "775-358-1020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHALIL",
        "first_name": "SAMER",
        "middle_name": "DUC",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-16",
        "last_updated": "2026-07-12",
        "certification_date": "2026-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "1263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.