Active NPI
Kenneth W Houchin, MD, Dba Elko Eye Center
- Eyewear Supplier
- Elko, NV
National Provider Identifier
1336310846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 8896
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100502104 | Medicaid | NV |
National Provider Directory
National Provider DirectoryLocations
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.