Individual provider Active NPI

Troy M Humphreys, OD FAAO

  • Optometrist
  • Sparks, NV
National Provider Identifier
1992712194
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD384 Issued in NV
Practice address
1965 Baring Blvd
Sparks, NV 89434-6734
Phone
(775) 358-1020
Fax
(775) 358-7951
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD384 NV Primary

Addresses

Primary practice location

1965 Baring Blvd
Sparks, NV 89434-6734

Mailing address

1965 Baring Blvd
Sparks, NV 89434-6734
Phone (775) 359-2499

Other identifiers 1

IdentifierTypeStateIssuer
002516454MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100617000819 NV Practitioner - Optometry 3779622006 Reassigns benefits to 2 organizations
I20200730000973 CA Practitioner - Ophthalmology 3779622006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Pacific University - College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Troy Humphreys OD Faao, Professional CorporationGroup PAC ID 9335564970, 12 clinicians
Troy Humphreys ODGroup PAC ID 9638522691, 3 clinicians

Practice addresses (Care Compare)

600 Ash St
Susanville, CA 96130-3714
Phone (530) 257-4424

9120 Double Diamond Pkwy
Reno, NV 89521-4842
Phone (775) 391-6433

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery80

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD384NVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle Wong Optometry PC Optometrist CurrentSince Sep 25, 2023 Accepting new patients
Troy Humphreys OD Faao, Professional Corporation Optometrist CurrentSince Jan 15, 2020 Accepting new patients
Troy Humphreys, OD Optometrist CurrentSince Nov 18, 2023 Accepting new patients

Locations

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

600 Ash St
Susanville, CA 96130
Phone (530) 257-3636

9700 S McCarran Blvd
Reno, NV 89523
Phone (775) 746-8884

18601 Wedge Pkwy
Ste 2B
Reno, NV 89511
Phone (775) 358-1020

18601 Wedge Pkwy
Ste 2C
Reno, NV 89511
Phone (775) 358-1020

9120 Double Diamond Pkwy
Reno, NV 89521
Phone (775) 204-0150

1965 Baring Blvd
Sparks, NV 89434
Phone (775) 358-1020

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1992712194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 BARING BLVD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894346734",
            "telephone_number": "775-359-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 BARING BLVD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894346734",
            "telephone_number": "775-358-1020",
            "fax_number": "775-358-7951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREYS",
        "first_name": "TROY",
        "middle_name": "M",
        "credential": "OD FAAO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "OD384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002516454",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.