DOCTOR GOLDENEYE, LLC - NPI NUMBER 1063835155

Summary

Provider Name: DOCTOR GOLDENEYE, LLC

NPI Number: 1063835155

Clasification: Optometrist (152W00000X)

Address:
2425 E 2ND ST # 1
RENO, NV
ZIP 89502

Phone Number: (775) 359-8220



Detailed Information

DOCTOR GOLDENEYE, LLC is an optometrist in Reno, NV. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. The assigned NPI number for this provider is 1063835155 and is registered as an organization entity type and is a single specialty group.

The provider's business address is:

2425 E 2ND ST # 1
RENO, NV
ZIP 89502-218
Phone: (775) 359-8220
Fax: (775) 348-8793

The provider's authorized official is Billy Mendoza .
The authorized official title is Primary Member and has the following contact phone number (775) 359-8220.

The enumeration date for this NPI number is 1/27/2014 and was last updated on 1/27/2014.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 152W00000X Optometrist 671 NV Yes

NPI Record

No. Field Name Field Value
1 NPI 1063835155
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name DOCTOR GOLDENEYE, LLC
5 Provider First Line Business Practice Location Address 2425 E 2ND ST # 1
6 Provider Business Practice Location Address City Name RENO
7 Provider Business Practice Location Address State Name NV
8 Provider Business Practice Location Address Postal Code 895021218
9 Provider Business Practice Location Address Country Code If outside U S US
10 Provider Business Practice Location Address Telephone Number 7753598220
11 Provider Business Practice Location Address Fax Number 7753488793
12 Provider Enumeration Date 1/27/2014
13 Last Update Date 1/27/2014
14 Authorized Official Last Name MENDOZA
15 Authorized Official First Name BILLY
16 Authorized Official Title or Position PRIMARY MEMBER
17 Authorized Official Telephone Number 7753598220
18 Healthcare Provider Taxonomy Code 1 152W00000X
19 Provider License Number 1 671
20 Provider License Number State Code 1 NV
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Is Organization Subpart N
23 Authorized Official Name Prefix Text DR.
24 Authorized Official Credential Text O.D.
25 Healthcare Provider Taxonomy Group 1 193400000X SINGLE SPECIALTY GROUP

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This page was last updated on: 8/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.