Provider Demographics
NPI:1407220197
Name:NANNINI VISION CARE, PLLC
Entity Type:Organization
Organization Name:NANNINI VISION CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:NANNINI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:775-360-6446
Mailing Address - Street 1:1111 STEAMBOAT PKWY
Mailing Address - Street 2:#420
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-6324
Mailing Address - Country:US
Mailing Address - Phone:775-360-6446
Mailing Address - Fax:844-749-9805
Practice Address - Street 1:1111 STEAMBOAT PKWY
Practice Address - Street 2:#420
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-6324
Practice Address - Country:US
Practice Address - Phone:775-360-6446
Practice Address - Fax:844-749-9805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-19
Last Update Date:2018-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV681152W00000X
NV741152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty