Active NPI
Eye Care Professionals
- Non-Pharmacy Dispensing Site
- Reno, NV
National Provider Identifier
1679931687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- License
- 9064
- Legal business name
- EYE CARE PROFESSIONALS
- Practice address
- 10685 Professional Cir
Suite a
Reno, NV 89521-5856 - Phone
- (775) 322-1000
- NPI assigned
- Feb 4, 2016
- 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
- Jasmine Worthen
- Title
- Credentialing Specialist
- Phone
- (727) 755-0693
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | 9064 | NV | Primary |
Addresses
Primary practice location
10685 Professional Cir
Suite a
Reno, NV 89521-5856
Mailing address
311 Park Place Blvd
5TH Floor
Clearwater, FL 33759-4904
Phone (727) 755-0693
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100506279 | Medicaid | NV |
National Provider Directory
National Provider Directory- Tax ID family
- Eye Care Professionals
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ophthalmology Physician
- Reno, NV
- NPI 1902960065
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Reno, NV
- NPI 1407843782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669075200000",
"number": "1679931687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 PARK PLACE BLVD",
"address_2": "5TH FLOOR",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337594904",
"telephone_number": "727-755-0693",
"fax_number": "727-755-0679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10685 PROFESSIONAL CIR",
"address_2": "SUITE A",
"city": "RENO",
"state": "NV",
"postal_code": "895215856",
"telephone_number": "775-322-1000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE CARE PROFESSIONALS",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-04",
"last_updated": "2022-11-22",
"certification_date": "2022-11-22",
"status": "A",
"authorized_official_last_name": "WORTHEN",
"authorized_official_first_name": "JASMINE",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "727-755-0693"
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": "NV",
"license": "9064",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100506279",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
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 Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.