Healthcare Provider Details

I. General information

NPI: 1427539535
Provider Name (Legal Business Name): VISION CONSULTANTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2018
Last Update Date: 10/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1950 BARING BLVD
SPARKS NV
89434
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 775-626-2224
  • Fax:
Mailing address:
  • Phone: 775-375-8869
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number896
License Number StateNV

VIII. Authorized Official

Name: DR. GREGORY J FALDOWSKI
Title or Position: PRESIDENT
Credential: O.D.
Phone: 760-920-2920