ADVANCED EYE WEAR (NPI# 1922333111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922333111 |
| Entity Type | Organization |
| Organization Name | ADVANCED EYE WEAR |
| Practice Address |
1673 Lucerne St Suite B Minden NV 89423-4306 |
| Practice Telephone | 7757825523 |
| Practice Fax Number | 7757828523 |
| Mailing Telephone | 7757825523 |
| Mailing Fax Number | 7757828523 |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | DR. JENNIFER LYNN PETERSON (OPTOMETRIST) |
| Authorized Official Telephone | 7757825523 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | ========= | NV | Suppliers |
| Street Address |
1673 LUCERNE ST SUITE B |
| City | MINDEN |
| State | NV |
| Zip Code | 89423-4306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124404728 | Jenna Ortiz | Counselor | 1650 Hwy 395 N, Suite 103a, Minden, NV 89423 | 2015-08-05 |
| 1508270042 | Courtney Michele Carmichael Hight | Physical Therapist | 1642 Mackland Ave, Minden, NV 89423 | 2014-06-12 |
| 1205274834 | Robert William Stone | Rehabilitation Practitioner | 1512 Hwy 395 N, Suite 3, Gardnerville, NV 89423 | 2013-06-05 |
| 1992068316 | David S Hoskins Md, Ltd | Family Medicine | 1664 Hwy 395 North, Suite 201, Minden, NV 89423 | 2012-06-20 |
| 1831450915 | Rachel Arvella Pryde | Social Worker | 1644 Highway 395 N, Suite D, Minden, NV 89423 | 2012-06-05 |
| 1316229610 | Jay D Marriage | Dentist | 1700 County Road, Suite E, Minden, NV 89423 | 2011-09-13 |
| 1053590760 | Gail Jean Jacobs | Social Worker | 1650 Hwy 395 Suite 202c, Minden, NV 89423 | 2007-10-30 |
| 1972797835 | Steven Brown Md PC | Internal Medicine | 1667 Lucerne Dr, Ste A, Minden, NV 89423 | 2007-09-04 |
| 1760681365 | Optimalaire Inc | Durable Medical Equipment & Medical Supplies | 2559-1 Precision Drive, Suite 1, Minden, NV 89423 | 2007-07-13 |
| 1316167406 | Jay D Marriage Dds | Dentist | 1700 County Rd, Suite B, Minden, NV 89423 | 2007-04-30 |
| Find all providers in zip 89423 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558996546 | The Eye Doctor At St. Rose LLC | Eyewear Supplier (Equipment, not the service) | 2645 St. Rose Parkway, Suite C-110, Henderson, NV 89052 | 2020-03-10 |
| 1912569203 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1980 Festival Plaza Dr Spc J200, Las Vegas, NV 89135-2927 | 2019-07-08 |
| 1013491869 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3411 Saint Rose Pkwy, Henderson, NV 89052-4570 | 2018-09-18 |
| 1396229399 | Usv Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 8025 S Rainbow Blvd Ste 104, Las Vegas, NV 89139-6495 | 2018-09-17 |
| 1184143109 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 2279 N Rampart Blvd, Las Vegas, NV 89128-7640 | 2017-09-11 |
| 1780134445 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 4530 S Carson St, Carson City, NV 89701-6918 | 2016-10-06 |
| 1730567561 | Sunstar Optical | Eyewear Supplier (Equipment, not the service) | 5960 Edmond St, Las Vegas, NV 89118-2856 | 2015-05-13 |
| 1457759391 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 6633 S Virginia St, Suite D, Reno, NV 89511-1169 | 2014-12-09 |
| 1982034724 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 740 S Rampart Blvd Ste 6, Las Vegas, NV 89145-5805 | 2013-11-14 |
| 1619221124 | Eyemart Express Ltd | Eyewear Supplier (Equipment, not the service) | 6633 S Virginia St Ste D, Reno, NV 89511-1162 | 2012-11-06 |
| Find all providers with the same taxonomy | ||||
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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.