Eyezone, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

437 Issued in NV

Legal business name

EYEZONE, INC.

Practice address

9700 S McCarran Blvd
Reno, NV 89523-9203

Phone

(775) 827-3937

Fax

(775) 746-5316

NPI assigned

Mar 23, 2009

Organization subpart

No

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

Authorized official

Name

Daniel T Rowan

Title

President

Phone

(775) 827-3937

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571702400000",
    "number": "1376784223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 S MCCARRAN BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895239203",
            "telephone_number": "775-827-3937",
            "fax_number": "775-746-5316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 S MCCARRAN BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895239203",
            "telephone_number": "775-827-3937",
            "fax_number": "775-746-5316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEZONE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-23",
        "last_updated": "2019-10-22",
        "status": "A",
        "authorized_official_last_name": "ROWAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-827-3937"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639205818",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043249394",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699050740",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eye Surgery Center of Northern Nevada, LLC
• Eyemart Express LLC
• Eyemart Express LTD
• Eyetech Visioncare, LTD.
• Eyeworld, L.L.C.
• Mary Ezeanuna, DO
• Dakota Ezell, DPT
• Chinelo Jecintha Ezenwa, M.D
• F. Keith Nebeker, D.P.M., PC
• Aaron Jonathan Factor

• 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 Oct 22, 2019; 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.