Organization Active NPI

Davis Optical Centers

  • Optician
  • Reno, NV
National Provider Identifier
1821275157
Registry record updated Nov 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
102 Issued in NV
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

Updated by the provider on Nov 13, 2012

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)CodeLicenseStatePrimary
Contact Lens Technician/TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 156FC0800X 102 NV
Contact Lens FitterGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 156FC0801X 102 NV
OpticianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
004116010MedicaidNV

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.