OrganizationActive
Eye Care Professionals
NPI 1679931687 · Non-Pharmacy Dispensing Site · Reno, NV
Provider details
- NPI number
- 1679931687
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Jasmine Worthen, Credentialing Specialist(727) 755-0693
- License
- 9064 (NV)
Specialties & taxonomies
Suppliers
Practice location
10685 Professional Cir
Suite a
Reno, NV 89521-5856
Phone: (775) 322-1000
Approximate (ZIP-level) locationGet directions
Mailing address
311 Park Place Blvd
Clearwater, FL 33759-4904
Registry dates
- Enumerated
- 2016-02-04
- Last updated
- 2022-11-22
- Certified
- 2022-11-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.