Healthcare Provider Details

I. General information

NPI: 1184277295
Provider Name (Legal Business Name): VISION CONSULTANTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2019
Last Update Date: 07/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2850 RUBY VISTA DR
ELKO NV
89801-1615
US

IV. Provider business mailing address

10580 N MCCARRAN BLVD STE 115-255
RENO NV
89503-2059
US

V. Phone/Fax

Practice location:
  • Phone: 775-375-8869
  • Fax:
Mailing address:
  • Phone: 775-375-8869
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: GREGORY J FALDOWSKI
Title or Position: PRESIDENT
Credential: O.D.
Phone: 775-375-8869