Provider Demographics
NPI:1326769878
Name:WILSON, CONKEY & ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:WILSON, CONKEY & ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:775-689-4519
Mailing Address - Street 1:620 SIERRA ROSE DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-2072
Mailing Address - Country:US
Mailing Address - Phone:775-689-4519
Mailing Address - Fax:
Practice Address - Street 1:9730 S MCCARRAN BLVD STE 1
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89523-9215
Practice Address - Country:US
Practice Address - Phone:775-787-3939
Practice Address - Fax:775-746-3991
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WILSON, CONKEY & ASSOCIATES, P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-09-02
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty