Organization Active NPI

Kenneth W Houchin, MD, Dba Elko Eye Center

  • Eyewear Supplier
  • Elko, NV
National Provider Identifier
1336310846
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
8896 Issued in NV
Legal business name
KENNETH W HOUCHIN, MD, DBA ELKO EYE CENTER
Practice address
875 14TH St
Elko, NV 89801-3414
Phone
(775) 738-5193
Fax
(775) 778-6831
NPI assigned
Mar 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Dr. Kenneth Wayne Houchin, MD
Title
Physician Owner
Phone
(775) 738-5193

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 8896 NV Primary

Addresses

Primary practice location

875 14TH St
Elko, NV 89801-3414

Mailing address

875 14TH St
Elko, NV 89801-3414
Phone (775) 738-5193

Other identifiers 1

IdentifierTypeStateIssuer
100502104MedicaidNV

National Provider Directory

National Provider Directory

Locations

875 14th St
Elko, NV 89801
Phone (775) 738-5193

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1336310846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 14TH ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898013414",
            "telephone_number": "775-738-5193",
            "fax_number": "775-778-6831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 14TH ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898013414",
            "telephone_number": "775-738-5193",
            "fax_number": "775-778-6831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH W HOUCHIN, MD, DBA ELKO EYE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "HOUCHIN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "775-738-5193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NV",
            "license": "8896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100502104",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elko, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.