MEDICARE: STANLEY L PLECHA JR. MD

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	207W00000X	Ophthalmology Physician	5475	NV

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DO963A	OTHER	NV	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255300919
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STANLEY L PLECHA JR. MD

Provider Business Mailing Address
First Line	:	6490 S MCCARRAN BLVD BLDG D2 STE 40
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89509-6125
Country	:	US
Telephone Number	:	775-284-0100
Fax Number	:	775-284-0555

Provider Business Practice Location Address
First Line	:	6490 S MCCARRAN BLVD BLDG D2
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89509-6165
Country	:	US
Telephone Number	:	775-284-0100
Fax Number	:	775-284-0555

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2006
Last Update Date	:	01/23/2025

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