NPIMap

Organization Active NPI

Downtown Vision, Inc

  • Optometrist
  • Reno, NV
National Provider Identifier
1376055913
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
782 Issued in NV
Legal business name
DOWNTOWN VISION, INC
Practice address
236 W 6TH St Ste 100
Reno, NV 89503-4549
Phone
(775) 322-4061
Fax
(775) 322-6603
NPI assigned
Nov 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Troy Robert Ogden, ODNPI 1023246386
Title
President
Phone
(776) 322-4061

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 782 NV Primary

Addresses

Primary practice location

236 W 6TH St Ste 100
Reno, NV 89503-4549

Mailing address

236 W 6TH St Ste 100
Reno, NV 89503-4549
Phone (775) 322-4061

Other identifiers 1

IdentifierTypeStateIssuer
100536414MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20171206002799 NV Part B Supplier - Clinic/Group Practice 3779840327 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
Practice locations: Carson City, NV; Reno, NV
O20180327002238 NV DME Supplier - Physician - Optometrist 3779840327 Practice locations: Reno, NV

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Downtown Vision236 W 6TH St, Reno, NV 89503-4549(775) 322-4061 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 2, 2018

National Provider Directory

National Provider Directory
Tax ID family
Downtown Vision Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

236 W 6th St
Ste 100
Reno, NV 89503
Phone (775) 322-4061

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1376055913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 W 6TH ST STE 100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034549",
            "telephone_number": "775-322-4061",
            "fax_number": "775-322-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 W 6TH ST STE 100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034549",
            "telephone_number": "775-322-4061",
            "fax_number": "775-322-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN VISION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-03",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "OGDEN",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "776-322-4061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100536414",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.