Individual provider Active NPI

James V Conkey II, OD

  • Optometrist
  • Reno, NV
National Provider Identifier
1669552287
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
244 Issued in NV
Practice address
620 Sierra Rose Dr
Reno, NV 89511-2072
Phone
(775) 689-4519
Fax
(775) 829-2018
NPI assigned
Oct 17, 2006
Last updated
Oct 5, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 244 NV Primary

Addresses

Primary practice location

620 Sierra Rose Dr
Reno, NV 89511-2072

Mailing address

620 Sierra Rose Dr
Reno, NV 89511-2072
Phone (775) 689-4519

Other identifiers 1

IdentifierTypeStateIssuer
V100561OtherNVMEDICARE ID-PIN

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
I20050427000485 NV Practitioner - Optometry 3971542374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

620 Sierra Rose Dr
Reno, NV 89511-2072
Phone (775) 689-4519

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
244NVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wilson, Conkey & Associates, P.C. Optometrist CurrentSince Mar 1, 2005 Accepting new patients
Wilson, Conkey & Associates, P.C. Optometrist CurrentSince Mar 1, 2005 Accepting new patients

Locations

620 Sierra Rose Dr
Reno, NV 89511
Phone (775) 689-4519

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1669552287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 SIERRA ROSE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112072",
            "telephone_number": "775-689-4519",
            "fax_number": "775-829-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 SIERRA ROSE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112072",
            "telephone_number": "775-689-4519",
            "fax_number": "775-829-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONKEY",
        "first_name": "JAMES",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-PIN",
            "identifier": "V100561",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.