Organization
EYETECH VISIONCARE, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DON D STATEN O.D. (PRESIDENT/OWNER)
(775) 353-5665
Entity
Organization
Contact information
Practice address
3915 BAKER LN, RENO, NV 89509-5544
(775) 825-3232
(775) 689-2494
Mailing address
1261 BARING BLVD, SPARKS, NV 89434-8673
(775) 353-5665
(775) 353-5660
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
168
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD5573
RAILROAD MEDICARE
NV
Enumeration date
02/22/2008
Last updated
02/22/2008
Update your record
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