Angela Nevarez
Individual provider Active NPI Optician · Carson City, NV
NPI 1609568344 · NPPES record last updated May 22, 2023
Key facts
- NPI
- 1609568344
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optician 156FX1800X
- Practice address
- 3200 Market St
Carson City, NV 89706-7984 - Phone
- (775) 883-6578
- Fax
- (775) 883-6586
- NPI assigned
- May 22, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Yes |
Addresses
Primary practice location
3200 Market St
Carson City, NV 89706-7984
Mailing address
3200 Market St
Carson City, NV 89706-7984
Phone (775) 883-6578
NPI Registry JSON
{
"created_epoch": "1684713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684713600000",
"number": "1609568344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 MARKET ST",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897067984",
"telephone_number": "775-883-6578",
"fax_number": "775-883-6586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 MARKET ST",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897067984",
"telephone_number": "775-883-6578",
"fax_number": "775-883-6586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEVAREZ",
"first_name": "ANGELA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-22",
"last_updated": "2023-05-22",
"certification_date": "2023-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carson City, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.