Individual provider Active NPI

Becky R Humphreys, OD

  • Optometrist
  • Sparks, NV
National Provider Identifier
1629085824
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD381 Issued in NV
Practice address
1965 Baring Blvd
Sparks, NV 89434-6734
Phone
(775) 358-1020
NPI assigned
Aug 1, 2006
Last updated
Jun 9, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD381 NV Primary

Addresses

Primary practice location

1965 Baring Blvd
Sparks, NV 89434-6734

Mailing address

1965 Baring Blvd
Sparks, NV 89434-6734
Phone (775) 358-1020

Other identifiers 1

IdentifierTypeStateIssuer
002516025MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100716000525 NV Practitioner - Optometry 5496887069 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Troy Humphreys ODGroup PAC ID 9638522691, 3 clinicians

Practice addresses (Care Compare)

9120 Double Diamond Pkwy
Reno, NV 89521-4842
Phone (775) 391-6433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD381NVMDOptometrist
381NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Troy Humphreys, OD Optometrist CurrentSince Aug 10, 2024 Accepting new patients

Locations

9120 Double Diamond Pkwy
Reno, NV 89521
Phone (775) 204-0150

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1629085824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 BARING BLVD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894346734",
            "telephone_number": "775-358-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 BARING BLVD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894346734",
            "telephone_number": "775-358-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREYS",
        "first_name": "BECKY",
        "middle_name": "R",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "OD381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002516025",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.