Provider Demographics
NPI:1669552287
Name:CONKEY, JAMES V II (OD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:V
Last Name:CONKEY
Suffix:II
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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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:775-829-2018
Practice Address - Street 1:620 SIERRA ROSE DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-2072
Practice Address - Country:US
Practice Address - Phone:775-689-4519
Practice Address - Fax:775-829-2018
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV244152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV100561OtherMEDICARE ID-PIN