Active NPI
Tyson Franklin Kales, OD
- Optometrist
- Reno, NV
National Provider Identifier
1891705398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 185
- Practice address
- 535 S Arlington Ave
Reno, NV 89509 - Phone
- (775) 323-0157
- Fax
- (775) 323-0289
- NPI assigned
- Aug 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 185 | NV | Primary |
Addresses
Primary practice location
535 S Arlington Ave
Reno, NV 89509
Mailing address
535 S Arlington Ave
Reno, NV 89509
Phone (775) 323-0157
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11149 | Other | EYE MED | |
| 31360 | Other | DAVIS | |
| 002516589 | Medicaid | NV | |
| 5091 | Other | MES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 185 | NV | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318464000000",
"number": "1891705398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 S ARLINGTON AVE",
"city": "RENO",
"state": "NV",
"postal_code": "89509",
"telephone_number": "775-323-0157",
"fax_number": "775-323-0289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 S ARLINGTON AVE",
"city": "RENO",
"state": "NV",
"postal_code": "89509",
"telephone_number": "775-323-0157",
"fax_number": "775-323-0289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALES",
"first_name": "TYSON",
"middle_name": "FRANKLIN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2011-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NV",
"license": "185",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYE MED",
"identifier": "11149",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS",
"identifier": "31360",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002516589",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MES",
"identifier": "5091",
"state": null
}
],
"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 Oct 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.