Provider Demographics
NPI:1316022551
Name:PLECHA DURANT STANKO JOHNSON & COHEN A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:PLECHA DURANT STANKO JOHNSON & COHEN A PROFESSIONAL CORPORATION
Other - Org Name:SIERRA EYE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KELLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CASSINELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-329-0286
Mailing Address - Street 1:950 RYLAND ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-1605
Mailing Address - Country:US
Mailing Address - Phone:775-329-0286
Mailing Address - Fax:775-329-4243
Practice Address - Street 1:950 RYLAND ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1605
Practice Address - Country:US
Practice Address - Phone:775-329-0286
Practice Address - Fax:775-329-4243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVCP8528OtherRAILROAD MEDICARE
NV0378410001Medicare NSC
NVCP8528OtherRAILROAD MEDICARE