Active NPI
Visionary Surgery Center of Nevada, LLC
- Ambulatory Surgical Clinic/Center
- Reno, NV
National Provider Identifier
1962963728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- VISIONARY SURGERY CENTER OF NEVADA, LLC
- Practice address
- 10463 Double R Blvd
Reno, NV 89521-5866 - Phone
- (775) 562-2121
- Fax
- (775) 322-1050
- NPI assigned
- Mar 26, 2019
- 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
- Allison H Whitlow, RN
- Title
- Administrator
- Phone
- (775) 799-2200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
10463 Double R Blvd
Reno, NV 89521-5866
Mailing address
10463 Double R Blvd Ste 200
Reno, NV 89521-8922
Phone (775) 562-2121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190801000568 | NV | Part B Supplier - Ambulatory Surgical Center | 2567798366 | Practice locations: Reno, NV |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Visionary Surgery Center of Nevada
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 29D2170240 | Visionary Surgery Center of Nevada LLC | Certificate of waiver | Aug 5, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Carson City, NV
- NPI 1477558195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761264000000",
"number": "1962963728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10463 DOUBLE R BLVD STE 200",
"city": "RENO",
"state": "NV",
"postal_code": "895218922",
"telephone_number": "775-562-2121",
"fax_number": "775-322-1050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10463 DOUBLE R BLVD",
"city": "RENO",
"state": "NV",
"postal_code": "895215866",
"telephone_number": "775-562-2121",
"fax_number": "775-322-1050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISIONARY SURGERY CENTER OF NEVADA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-26",
"last_updated": "2025-10-24",
"certification_date": "2025-10-24",
"status": "A",
"authorized_official_last_name": "WHITLOW",
"authorized_official_first_name": "ALLISON",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "775-799-2200",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.