Active NPI
Davis Optical Centers
- Optician
- Reno, NV
National Provider Identifier
1821275157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 102
- Legal business name
- DAVIS OPTICAL CENTERS
- Practice address
- 5053 S McCarran Blvd
Reno, NV 89502-6545 - Phone
- (775) 826-1666
- Fax
- (775) 826-1729
- NPI assigned
- Jan 29, 2008
- 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
- Wayne Davis, R.D.O.
- Title
- Owner
- Phone
- (775) 826-1666
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contact Lens Technician/Technologist | 156FC0800X | 102 | NV | |
| Contact Lens Fitter | 156FC0801X | 102 | NV | |
| Optician | 156FX1800X | 102 | NV | Primary |
Addresses
Primary practice location
5053 S McCarran Blvd
Reno, NV 89502-6545
Mailing address
5053 S McCarran Blvd
Reno, NV 89502-6545
Phone (775) 826-1666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004116010 | Medicaid | NV |
National Provider Directory
National Provider DirectoryLocations
5053 S McCarran Blvd
Reno, NV 89502
Phone (775) 359-4466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352764800000",
"number": "1821275157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5053 S MCCARRAN BLVD",
"city": "RENO",
"state": "NV",
"postal_code": "895026545",
"telephone_number": "775-826-1666",
"fax_number": "775-826-1729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5053 S MCCARRAN BLVD",
"city": "RENO",
"state": "NV",
"postal_code": "895026545",
"telephone_number": "775-826-1666",
"fax_number": "775-826-1729"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVIS OPTICAL CENTERS",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-29",
"last_updated": "2012-11-13",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "WAYNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "775-826-1666",
"authorized_official_credential": "R.D.O."
},
"taxonomies": [
{
"code": "156FC0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Contact Lens",
"state": "NV",
"license": "102",
"primary": false
},
{
"code": "156FC0801X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Contact Lens Fitter",
"state": "NV",
"license": "102",
"primary": false
},
{
"code": "156FX1800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": "NV",
"license": "102",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004116010",
"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 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.