MEDICARE: OPTICAL CENTERS OF NEVADA

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	332H00000X	Eyewear Supplier	229	NV

General Provider Information

NPI Number	:	1073638128
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTICAL CENTERS OF NEVADA

Provider Business Mailing Address
First Line	:	3839 N CARSON ST
Second Line	:
City	:	CARSON CITY
State	:	NV
Zip	:	89706-1935
Country	:	US
Telephone Number	:	775-885-2020
Fax Number	:

Provider Business Practice Location Address
First Line	:	3839 N CARSON ST
Second Line	:
City	:	CARSON CITY
State	:	NV
Zip	:	89706-1935
Country	:	US
Telephone Number	:	775-885-2020
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOHN EDWARD SCHOENFELD
Credential	:	OPTICIAN
Telephone Number	:	775-885-2020

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	08/22/2020

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Directions to “OPTICAL CENTERS OF NEVADA ” Practice Location

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