Active NPI
Colin Kinjo
- Optometrist
- Sparks, NV
National Provider Identifier
1619366531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 827
- Practice address
- 5961 S Los Altos Pkwy
Ste 101
Sparks, NV 89436-2500 - Phone
- (775) 359-2020
- Fax
- (775) 359-2676
- NPI assigned
- Jan 15, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 827 | NV | Primary |
Addresses
Primary practice location
5961 S Los Altos Pkwy
Ste 101
Sparks, NV 89436-2500
Mailing address
5961 S Los Altos Pkwy
Ste 101
Sparks, NV 89436-2500
Phone (775) 359-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437609600000",
"number": "1619366531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5961 S LOS ALTOS PKWY",
"address_2": "STE 101",
"city": "SPARKS",
"state": "NV",
"postal_code": "894362500",
"telephone_number": "775-359-2020",
"fax_number": "775-359-2676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5961 S LOS ALTOS PKWY",
"address_2": "STE 101",
"city": "SPARKS",
"state": "NV",
"postal_code": "894362500",
"telephone_number": "775-359-2020",
"fax_number": "775-359-2676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINJO",
"first_name": "COLIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-15",
"last_updated": "2015-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NV",
"license": "827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sparks, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.