Healthcare Provider Details

I. General information

NPI: 1679877039
Provider Name (Legal Business Name): EYEWORLD, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2010
Last Update Date: 12/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5164 MEADOWOOD MALL CIR SPACE #F109
RENO NV
89502-6711
US

IV. Provider business mailing address

2005 SILVERADA BLVD STE 140
RENO NV
89512-5033
US

V. Phone/Fax

Practice location:
  • Phone: 775-829-8366
  • Fax:
Mailing address:
  • Phone: 775-829-2020
  • Fax: 888-632-2111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PATRICK M. HSUEH
Title or Position: PRESIDENT
Credential: M.D.
Phone: 775-829-2020