Active NPI
Advanced Vision LLC
- Optometrist
- Reno, NV
National Provider Identifier
1497340368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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 LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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.
-
- Optometrist
- Reno, NV
- NPI 1437748563
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Reno, NV
- NPI 1770622045
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.