TAIRA ENEWOLD (NPI# 1134454218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134454218 |
| Entity Type | Individual |
| Full Name | TAIRA ENEWOLD |
| Credential | OD |
| Practice Address |
1715 Kuenzli St Reno NV 89502-1117 |
| Practice Telephone | 7753295162 |
| Practice Fax Number | 7753344356 |
| Mailing Telephone | 7753295162 |
| Mailing Fax Number | 7753344356 |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2016-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3464 | OR | Eye and Vision Services Providers |
| Street Address |
1715 KUENZLI ST |
| City | RENO |
| State | NV |
| Zip Code | 89502-1117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144276718 | Susan Tissier | Dietitian, Registered | 1715 Kuenzli St, Reno, NV 89502-1117 | 2006-05-25 |
| 1538616974 | Julie Kathleen Cope | Nurse Practitioner | 1715 Kuenzli St, Reno, NV 89502-1117 | 2016-09-01 |
| 1225426943 | Melissa Veil | Physician Assistant | 1715 Kuenzli St, Reno, NV 89502-1117 | 2015-01-05 |
| 1871911875 | Micoler, Incorporated | Internal Medicine | 1715 Kuenzli St, Reno, NV 89502-1117 | 2014-04-07 |
| 1679815492 | Jovino Lazatin Lorenzo | Technician, Other | 1715 Kuenzli St, Reno, NV 89502-1117 | 2013-03-19 |
| 1861734675 | Michele E Rider | Technician, Health Information | 1715 Kuenzli St, Reno, NV 89502-1117 | 2013-03-19 |
| 1174876742 | Mary Louise Lask | Counselor | 1715 Kuenzli St, Reno, NV 89502-1117 | 2012-10-19 |
| 1235489071 | David Kemppainen | Counselor | 1715 Kuenzli St, Reno, NV 89502-1117 | 2012-09-19 |
| 1932456274 | Michelle Katenay | Counselor | 1715 Kuenzli St, Reno, NV 89502-1117 | 2012-08-06 |
| 1548520349 | Rebecca Sue Miller | Counselor | 1715 Kuenzli St, Reno, NV 89502-1117 | 2012-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314264 | State of Nevada | Community/Behavioral Health | 4600 Kietzke Lane Bldg D, Reno, NV 89502 | 2020-07-23 |
| 1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
| 1396378063 | Domingko Loney | Chore Provider | 1325 Air Motive Wat St 262, Reno, NV 89502 | 2020-02-20 |
| 1053954842 | Derek Craig | Home Health Aide | 1000 Havard Way #29, Reno, NV 89502 | 2019-10-24 |
| 1477108124 | Marisa Rachael Traversie | Nurse Practitioner | 910 Vista Boulevard, Sparks, NV 89502 | 2019-08-08 |
| 1912564675 | Patrick Llewellyn Merrill | Social Worker | 975 Kirman Ave - Ch 116, Reno, NV 89502 | 2019-05-28 |
| 1881154706 | Naresh Kumar Veerabattini | Student in an Organized Health Care Education/Training Program | 1155 Mill St, Renown Regional Medical Center, W11 Academic Department Offices, Reno, NV 89502 | 2019-03-25 |
| 1053899187 | Daphne London | Behavioral Analyst | 1325 Airmotive Way Ste 260, Reno, NV 89502 | 2018-07-31 |
| 1790271609 | Jennifer J Padolina | Optometrist | 2296 Kietzke Ln, Reno, NV 89502 | 2018-07-03 |
| 1336630185 | Lindsey Cherie Cooper | Technician | 3563 Sol Grande Ct, Reno, NV 89502 | 2018-05-27 |
| Find all providers in zip 89502 | ||||
| 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 |
|---|---|---|---|---|
| 1033766431 | Optic Gallery South Meadows LLC | Optometrist | 770 S Meadows Pkwy Ste 108&109, Reno, NV 89521-3862 | 2019-08-20 |
| 1396223434 | Kulvir Singh | Optometrist | 5645 Meadowood Mall Cir, Reno, NV 89502-6521 | 2018-07-31 |
| 1790271609 | Jennifer J Padolina | Optometrist | 2296 Kietzke Ln, Reno, NV 89502 | 2018-07-03 |
| 1548776024 | Jennifer L. Shane O.d., Ltd | Optometrist | 5385 Reno Corporate Drive #100, Reno, NV 89511 | 2017-12-20 |
| 1285145110 | Humphreys Marchant Humphreys and Cooper Ods Ltd | Optometrist | 18601 Wedge Pkwy, Reno, NV 89511-3321 | 2017-10-18 |
| 1588061675 | Pritchett Eye Care PC | Optometrist | 1095 N Hills Blvd, Ste B, Reno, NV 89506-8691 | 2014-12-04 |
| 1063835155 | Doctor Goldeneye, LLC | Optometrist | 2425 E 2nd St # 1, Reno, NV 89502-1218 | 2014-01-27 |
| 1326484882 | Jc Erramouspe Od, PC | Optometrist | 5164 Meadowood Mall Cir, F-109, Reno, NV 89502 | 2013-05-10 |
| 1740533488 | Joan Elizabeth Browne | Optometrist | 2295 Kietzke Ln, Reno, NV 89502-3604 | 2012-10-18 |
| 1669727293 | Mariah Smith | Optometrist | 6360 Mae Anne Ave, Suite 1, Reno, NV 89523-4732 | 2012-07-19 |
| Find all providers in RENO | ||||
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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.