Active NPI
Troy Humphreys, OD
- Optometrist
- Reno, NV
National Provider Identifier
1629840319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- TROY HUMPHREYS, OD
- Practice address
- 9120 Double Diamond Pkwy
Reno, NV 89521-4842 - Phone
- (775) 391-6433
- Fax
- (775) 391-6450
- NPI assigned
- Oct 25, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Troy Humphreys, OD
- Title
- Ceo/Owner
- Phone
- (775) 287-0295
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
9120 Double Diamond Pkwy
Reno, NV 89521-4842
Mailing address
2435 Primio CT
Sparks, NV 89434-9589
Phone (775) 287-0295
Other names 1
- Legacy Vision
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Sparks, NV
- NPI 1992712194
-
- Optometrist
- Sparks, NV
- NPI 1629085824
-
- Optometrist
- Carson City, NV
- NPI 1013915313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728432000000",
"number": "1629840319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2435 PRIMIO CT",
"city": "SPARKS",
"state": "NV",
"postal_code": "894349589",
"telephone_number": "775-287-0295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9120 DOUBLE DIAMOND PKWY",
"city": "RENO",
"state": "NV",
"postal_code": "895214842",
"telephone_number": "775-391-6433",
"fax_number": "775-391-6450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TROY HUMPHREYS, OD",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-25",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A",
"authorized_official_last_name": "HUMPHREYS",
"authorized_official_first_name": "TROY",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "775-287-0295",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Legacy Vision",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.