Individual provider Active NPI

Steven Koning, OD

  • Optometrist
  • Reno, NV
National Provider Identifier
1851626931
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
733 Issued in NV
Practice address
9700 South McCarran Blvd.
Reno, NV 89523
Phone
(775) 827-3937
Fax
(775) 746-5316
NPI assigned
Oct 7, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 733 NV Primary

Addresses

Primary practice location

9700 South McCarran Blvd.
Reno, NV 89523

Mailing address

9700 South McCarran Blvd.
Reno, NV 89523
Phone (775) 827-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120913000583 NV Practitioner - Optometry 0749438992 Reassigns benefits to 1 organization
I20220117000606 WA Practitioner - Optometry 0749438992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mt. Baker Vision ClincGroup PAC ID 2860380094, 6 clinicians

Practice addresses (Care Compare)

720 Birchwood Ave
Bellingham, WA 98225-1714
Phone (360) 733-1720

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
733NVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pritchett Eye Care PC Optometrist CurrentSince Feb 1, 2015 Accepting new patients
Mt. Baker Vision Clinc Optometrist CurrentSince Feb 1, 2022 Accepting new patients
Pritchett Eye Care PC Optometrist Current Accepting new patients
Pritchett Eye Care Optometrist CurrentSince Feb 1, 2015 Accepting new patients

Locations

831 Keystone Ave
Reno, NV 89503
Phone (702) 746-2020

5961 S Los Altos Pkwy
Ste 101
Sparks, NV 89436
Phone (775) 359-2020

720 Birchwood Ave
Bellingham, WA 98225
Phone (360) 733-1720

1887 Main St
Ste 101
Ferndale, WA 98248
Phone (360) 255-0555

1610 Grover St
Lynden, WA 98264
Phone (360) 733-1720

Organizations & group practices 5

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": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399593600000",
    "number": "1851626931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 SOUTH MCCARRAN BLVD.",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89523",
            "telephone_number": "775-827-3937",
            "fax_number": "775-746-5316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 SOUTH MCCARRAN BLVD.",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89523",
            "telephone_number": "775-827-3937",
            "fax_number": "775-746-5316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONING",
        "first_name": "STEVEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-07",
        "last_updated": "2014-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.