Davis Koenig
Individual provider Active NPI Optometrist · Fallon, NV
NPI 1386404382 · NPPES record last updated Sep 3, 2025
Key facts
- NPI
- 1386404382
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 1198 (NV)
- Practice address
- 65 N Taylor St
Fallon, NV 89406-2750 - Phone
- (775) 423-8024
- NPI assigned
- Mar 19, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fallon Tribal Health Center
Robertson and Koenig LTD
Practice addresses (Care Compare)
1001 Rio Vista Dr
Fallon, NV 89406-5463
Phone (775) 423-3634
65 N Taylor St
Fallon, NV 89406-2750
Phone (775) 423-8024
Fallon Tribal Health Clinic
1001 Rio Vista Drive
Fallon, NV 89406-5463
Fallon Tribal Health Ctr
1001 Rio Vista Drive
Fallon, NV 89406-5463
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 21 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NV, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240730002845 | NV | Practitioner - Optometry | 2961949748 | Reassigns benefits to 1 organization |
| I20250123000051 | TX | Practitioner - Optometry | 2961949748 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fallon Tribal Health Center | Current |
Accepting new patients | |
| Robertson & Koenig, LTD | Optometrist | Current | Accepting new patients |
| Robertson & Koenig,LTD | Optometrist | Current |
Accepting new patients |
| Robertson & Koenig, LTD | Optometrist | Past | Accepting new patients |
Locations
1001 Rio Vista Dr
Fallon, NV 89406
Phone (775) 423-3634
65 N Taylor St
Fallon, NV 89406
Phone (775) 423-8024
198 E Main St
Fernley, NV 89408
Phone (775) 575-1966
233 S Main St
Yerington, NV 89447
Phone (775) 463-2020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1198 | NV | Yes |
Addresses
Primary practice location
65 N Taylor St
Fallon, NV 89406-2750
Mailing address
65 N Taylor St
Fallon, NV 89406-2750
Phone (775) 423-8024
Other providers in Fallon, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.