MEDICARE: VISION CONSULTANTS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

General Provider Information

NPI Number	:	1639720139
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISION CONSULTANTS

Provider Business Mailing Address
First Line	:	10580 N MCCARRAN BLVD STE 115-255
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89503-2059
Country	:	US
Telephone Number	:	775-375-8869
Fax Number	:

Provider Business Practice Location Address
First Line	:	2325 E HARMON AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-7848
Country	:	US
Telephone Number	:	775-375-8869
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GREGORY J FALDOWSKI
Credential	:	OD
Telephone Number	:	775-375-8869

Provider Enumeration Date	:	09/25/2019
Last Update Date	:	09/25/2019

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Directions to “VISION CONSULTANTS ” Practice Location

Language	Start Address	Practice Location

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