Provider Demographics
NPI:1376605097
Name:ADLINGTON EYE CENTER, INC.
Entity Type:Organization
Organization Name:ADLINGTON EYE CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:ADLINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:775-284-3937
Mailing Address - Street 1:500 W PLUMB LN STE A
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-3688
Mailing Address - Country:US
Mailing Address - Phone:775-284-3937
Mailing Address - Fax:775-284-3943
Practice Address - Street 1:500 W PLUMB LN STE A
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-3688
Practice Address - Country:US
Practice Address - Phone:775-284-3937
Practice Address - Fax:775-284-3943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-16
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV40366Medicare PIN