MEDICARE: DR. PATRICK BRIAN ADLINGTON OD, FAAO

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	152W00000X	Optometrist	251	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	251	OTHER	NV	STATE LICENSE #

General Provider Information

NPI Number	:	1619936317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICK BRIAN ADLINGTON OD, FAAO

Provider Business Mailing Address
First Line	:	500 W PLUMB LN
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89509-3688
Country	:	US
Telephone Number	:	775-284-3937
Fax Number	:	775-284-3943

Provider Business Practice Location Address
First Line	:	500 W PLUMB LN
Second Line	:	SUITE A
City	:	RENO
State	:	NV
Zip	:	89509-3666
Country	:	US
Telephone Number	:	775-284-3937
Fax Number	:	775-284-3943

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

Provider Enumeration Date	:	03/21/2006
Last Update Date	:	07/09/2007

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