Premier Vision Group

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD278 Issued in NV

Legal business name

PREMIER VISION GROUP

Practice address

9700 S McCarran Blvd
Reno, NV 89523-9203

Phone

(775) 746-8884

Fax

(775) 746-5316

NPI assigned

Sep 12, 2008

Last updated

Nov 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kelly Jean Nichols

Title

Optician/Officer Manager

Phone

(775) 746-8884

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark D Michitsch, OD

  • Optometrist
  • Reno, NV
  • NPI 1043249394
  NPD (past)

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1639328768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 S MCCARRAN BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895239203",
            "telephone_number": "775-746-8884",
            "fax_number": "775-746-5316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 S MCCARRAN BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895239203",
            "telephone_number": "775-746-8884",
            "fax_number": "775-746-5316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER VISION GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-12",
        "last_updated": "2008-11-12",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OPTICIAN/OFFICER MANAGER",
        "authorized_official_telephone_number": "775-746-8884",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "OD278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "410030899",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Precision Surgical Assistance LLC
• Melissa D Preece, PT, DPT
• Trevor Preece, PTA
• Jennifer Preman, PT
• Premier Hospice Physicians PC
• Premise Health of Nevada Medical Hinitt P C (The Row Family Medical Center)
• Premise Health of Nevada Medical Hinitt P C (The Row Family Medical Center)
• Premise Health of Nevada Medical Hinitt P C (The Row Family Medical Center)
• Premise Health of Nevada Medical Hinitt PC (The ROW Family Medical Center)
• Cody Allen Premo, QMHA

• Optometrist in Reno, NV
• Providers in Reno, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.