Provider Demographics
NPI:1619936317
Name:ADLINGTON, PATRICK BRIAN (OD, FAAO)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:BRIAN
Last Name:ADLINGTON
Suffix:
Gender:M
Credentials:OD, FAAO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 W PLUMB LN
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
Practice Address - Street 2:SUITE A
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-3666
Practice Address - Country:US
Practice Address - Phone:775-284-3937
Practice Address - Fax:775-284-3943
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-21
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV251152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV251OtherSTATE LICENSE #
NV40368Medicare ID - Type UnspecifiedMEDICARE PROVIDER #
NV251OtherSTATE LICENSE #