Organization Active NPI

Advanced Vision LLC

  • Optometrist
  • Reno, NV
National Provider Identifier
1497340368
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ADVANCED VISION LLC
Practice address
13921 S Virginia St Ste 116
Reno, NV 89511-2911
Phone
(775) 826-4100
NPI assigned
Mar 3, 2021
Organization subpart
Yes
Parent organization
ADVANCED VISION LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Authorized official

Name
Mary Beck, OD
Title
President
Phone
(512) 900-0322

Specialties & licenses 1

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

Addresses

Primary practice location

13921 S Virginia St Ste 116
Reno, NV 89511-2911

Mailing address

5465 Meadowood Mall Cir
Reno, NV 89502-6710
Phone (775) 826-4100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmb@advancedvisionreno.com Direct

National Provider Directory

National Provider Directory
Part of
Advanced Vision LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1614729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1497340368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5465 MEADOWOOD MALL CIR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895026710",
            "telephone_number": "775-826-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13921 S VIRGINIA ST STE 116",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112911",
            "telephone_number": "775-826-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED VISION LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED VISION LLC",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-900-0322",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmb@advancedvisionreno.com",
            "affiliation": "N",
            "endpointDescription": "email - HIPAA compliant",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "13921 S Virginia St Ste 116",
            "city": "Reno",
            "state": "NV",
            "country_code": "US",
            "postal_code": "895112911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 3, 2021; 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.