DR. CODY SAM BENGOA (NPI# 1053388603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053388603 |
Entity Type | Individual |
Full Name | DR. CODY SAM BENGOA |
Credential | O.D. |
Practice Address |
1050 Hanson St Winnemucca NV 89445-2774 |
Practice Telephone | 7756253937 |
Practice Fax Number | 7756253938 |
Mailing Telephone | 7756253937 |
Mailing Fax Number | 7756253938 |
Enumeration Date | 2006-03-02 |
Last Update Date | 2019-01-25 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | NV497 | NV | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NV | MES | 11822 | 01 |
NV | MEDICARE PTAN | GQ964Z | 01 |
NV | 100506767 | 05 | |
NV | RAILROAD MEDICARE | P01130927 | 01 |
Street Address |
1050 HANSON ST |
City | WINNEMUCCA |
State | NV |
Zip Code | 89445-2774 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083109151 | Thomas David Gall | Optometrist | 1050 Hanson St, Winnemucca, NV 89445-2774 | 2018-06-29 |
1073865630 | Bengoa Eye Care Ltd | Optometrist | 1050 Hanson St, Winnemucca, NV 89445-2774 | 2012-10-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386202398 | Marie Stone | Behavior Technician | 7430 Sunflower Ct, Winnemucca, NV 89445 | 2019-06-04 |
1174010052 | Joseph Ricioli | Student in an Organized Health Care Education/Training Program | Humboldt General Hospital, 118 East Haskell Street, Winnemucca, NV 89445 | 2018-04-17 |
1144768573 | Northern Nevada Eyecare Ltd | Optometrist | 50 E Haskell St Suite A, Winnemucca, NV 89445 | 2017-02-06 |
1942653449 | Michael Cogsdill | Community Health Worker | 118 East Haskell Streey, Winnemucca, NV 89445 | 2016-07-20 |
1861534240 | Susan Louise Jancar | Dentist | 50 E Haskell St, Winnemucca, NV 89445 | 2007-02-13 |
1790833275 | Jennifer J Hood | Marriage & Family Therapist | 51 E Haskell St, Ste A, Winnemucca, NV 89445 | 2007-01-08 |
1881762409 | Charles Adnan Stringham | Internal Medicine | 51 E Haskell Street, Suite A, Winnemucca, NV 89445 | 2006-12-01 |
1255343174 | James Maurice Langevin | Surgery | 118 E Haskell St Ste D, Winnemucca, NV 89445 | 2006-08-12 |
1780211680 | Mich Andrew Gehrig Jr. | Student in an Organized Health Care Education/Training Program | Humboldt General Hospital, 118 East Haskell St, Winnemucca, NV 89445 | 2020-03-23 |
1457543712 | Dan W Debonis Dds Ltd | Dentist | 530 Melarkey St, Winnemucca, NV 89445 | 2007-08-10 |
Find all providers in zip 89445 |
Taxonomy Code | 152W00000X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912562596 | B. Michael Southam, Od, PC | Optometrist | 625 Sheehan St Apt E, Winnemucca, NV 89445-3675 | 2019-05-08 |
1144768573 | Northern Nevada Eyecare Ltd | Optometrist | 50 E Haskell St Suite A, Winnemucca, NV 89445 | 2017-02-06 |
1295883858 | Northern Nevada Eyecare Ltd | Optometrist | 50 E Haskell St., Suite A, Winnemucca, NV 89445-3576 | 2007-01-08 |
1609931682 | Bela L Svoboda Jr. | Optometrist | 50 E Haskell St Ste A, Winnemucca, NV 89445-3576 | 2006-12-27 |
1194378208 | Vision Consultants | Optometrist | 118 E Haskell St, Winnemucca, NV 89445-3247 | 2019-07-17 |
1083109151 | Thomas David Gall | Optometrist | 1050 Hanson St, Winnemucca, NV 89445-2774 | 2018-06-29 |
1073865630 | Bengoa Eye Care Ltd | Optometrist | 1050 Hanson St, Winnemucca, NV 89445-2774 | 2012-10-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366040305 | Dr Martinez Od, Pllc | Optometrist | 3515 Saint Rose Pkwy Ste 110, Henderson, NV 89052-4596 | 2020-10-13 |
1558972331 | Shirlene Jade Luu | Optometrist | 4343 N Rancho Dr Ste 116, Las Vegas, NV 89130-3421 | 2020-08-13 |
1831709104 | Jenny Wong | Optometrist | 9260 W Sunset Rd Ste 209, Las Vegas, NV 89148-4903 | 2020-08-03 |
1245853407 | Dana Vo Od, Ltd | Optometrist | 3900 Spring Mountain Rd Ste 1, Las Vegas, NV 89102-8650 | 2020-05-22 |
1841838331 | Vision Consultants | Optometrist | 660 S Martin Luther King Blvd, Las Vegas, NV 89106-4413 | 2019-12-15 |
1073156824 | Beena Mangalbhai Patel | Optometrist | 9484 W Flamingo Rd Ste 280, Las Vegas, NV 89147-5746 | 2019-10-24 |
1386294106 | Amy Nguyen Optometric Professional Corporation | Optometrist | 4080 N Martin Luther King Blvd, North Las Vegas, NV 89032 | 2019-09-13 |
1033766431 | Optic Gallery South Meadows LLC | Optometrist | 770 S Meadows Pkwy Ste 108&109, Reno, NV 89521-3862 | 2019-08-20 |
1437706934 | Sirintr/suk Pllc | Optometrist | 6085 S Fort Apache Rd Ste 120-130, Las Vegas, NV 89148-5545 | 2019-08-20 |
1346802568 | Rickie Kwong Chin Jr. | Optometrist | 695 S. Green Valley Pkwy, Henderson, NV 89052 | 2019-07-08 |
Find all providers with the same taxonomy |
City | WINNEMUCCA |
Zip Code | 89445 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.