Provider Demographics
NPI:1982423497
Name:NVISION OPTIX
Entity type:Organization
Organization Name:NVISION OPTIX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:BENITZ
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:775-900-2015
Mailing Address - Street 1:3715 LAKESIDE DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-5276
Mailing Address - Country:US
Mailing Address - Phone:775-900-2015
Mailing Address - Fax:
Practice Address - Street 1:3715 LAKESIDE DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-5276
Practice Address - Country:US
Practice Address - Phone:775-900-2015
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-10
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty