NPIMap

Organization Active NPI

Advanced Eye Wear

  • Eyewear Supplier
  • Minden, NV
National Provider Identifier
1922333111
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
ADVANCED EYE WEAR
Practice address
1673 Lucerne St
Suite B
Minden, NV 89423-4306
Phone
(775) 782-5523
Fax
(775) 782-8523
NPI assigned
Oct 6, 2009
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Jennifer Lynn Peterson, O.D.
Title
Optometrist
Phone
(775) 782-5523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NV Primary

Addresses

Primary practice location

1673 Lucerne St
Suite B
Minden, NV 89423-4306

Mailing address

1673 Lucerne St
Suite B
Minden, NV 89423-4306
Phone (775) 782-5523

National Provider Directory

National Provider Directory

Locations

1673 Lucerne St
Ste B
Minden, NV 89423
Phone (775) 782-5523

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1922333111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1673 LUCERNE ST",
            "address_2": "SUITE B",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894234306",
            "telephone_number": "775-782-5523",
            "fax_number": "775-782-8523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1673 LUCERNE ST",
            "address_2": "SUITE B",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894234306",
            "telephone_number": "775-782-5523",
            "fax_number": "775-782-8523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED EYE WEAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "775-782-5523",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minden, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.