Eyetech Visioncare, LTD

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYETECH VISIONCARE, LTD

Practice address

1261 Baring Blvd
Sparks, NV 89434-8673

Phone

(775) 353-5665

Fax

(775) 353-5660

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Don D Staten, OD

Title

President

Phone

(775) 353-5665

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Drs Staten & Natchez Ltd Former legal business name

Locations

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1669557948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 BARING BLVD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894348673",
            "telephone_number": "775-353-5665",
            "fax_number": "775-353-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 BARING BLVD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894348673",
            "telephone_number": "775-353-5665",
            "fax_number": "775-353-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYETECH VISIONCARE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "STATEN",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-353-5665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD5573",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs Staten & Natchez Ltd",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Patricia L Evans, M.S. MFT INTERN
• Wylie Evanson
• Robin Evensen
• Lisa Susan Everett-Bridgewater, PT
• Brandie Ann Ewing
• Innocent Chukwuma Ezenwa, MD
• Roslynn Fabian
• Brittany Fader, SLP
• Faith & Hope Home Care LLC
• Marlena Katherine Fajardo, DTR

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.