Davis Koenig

Primary specialty

OptometristTaxonomy code 152W00000X

License

1198 Issued in NV

Practice address

65 N Taylor St
Fallon, NV 89406-2750

Phone

(775) 423-8024

NPI assigned

Mar 19, 2024

Last updated

Sep 3, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV, TX2 enrollments

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.

Enrollment records 2

Specialty

Optometry

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fallon Tribal Health CenterGroup PAC ID 0042399578, 12 clinicians

Robertson and Koenig LTDGroup PAC ID 5193616480, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fallon Tribal Health Center

  • Clinic/Center
  • Fallon, NV
  • NPI 1023057478

  TX

  Medicare reassignment Care Compare group NPD
• Robertson & Koenig, LTD

  • Optometrist
  • Fernley, NV
  • NPI 1699745059
  Medicare reassignment Care Compare group NPD
• Robertson & Koenig,LTD

  dba Dayton Family Vision

  • Optometrist
  • Dayton, NV
  • NPI 1255226072
  NPD
• Robertson & Koenig, LTD

  • Optometrist
  • Yerington, NV
  • NPI 1215129069
  NPD (past)

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1386404382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 N TAYLOR ST",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894062750",
            "telephone_number": "775-423-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 N TAYLOR ST",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894062750",
            "telephone_number": "775-423-8024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "DAVIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-19",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "1198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Kinsell, PH D
• Amanda L Knapp
• Joseph Knapp
• Mary Koch
• Skyler Koelsch
• Pamela Krause
• Tomas Kutansky, D.D.S.
• Michael Lagrone
• Lahontan Valley Diagnostic
• Mary Anne Lakin

• Optometrist in Fallon, NV
• Providers in Fallon, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.