QUAN SAY VONG (OD) – Optometrist, NPI 1114412558

QUAN SAY VONG (OD) is a healthcare provider. based in Reno, Nevada. specializing in Optometrist. They hold the professional credentials OD. They hold a License No. 1030 (NV). The NPI Number for QUAN SAY VONG (OD) is 1114412558

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
QUAN SAY VONG (OD)
NPI
1114412558
Phone
(775) 829-5685
Address
2295 KIETZKE LN
Enumeration Date
28 June 2018
Last Update Date
4 May 2021

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
7756894519
Graduation Year
2019 (7 years ago)
PAC ID
2860817871
Group Practice PAC ID
0446299846
Professional Enrollment ID
I20200807002689
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

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Provider Addresses for QUAN SAY VONG (OD)

  • 2295, Kietzke Lane, Reno, Washoe County, Nevada, 89502, United States

    RENO, NV 895023604

    Phone: (775) 829-5685

    Type: Mailing

  • 620 SIERRA ROSE DR

    RENO, NV 895112072

    Phone: (775) 689-4519

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-08-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200807002689IOptometryNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89502)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446299846View full group profile
NameSpecialtyState
-NV
O P T O M E T R YNV
O P T O M E T R YNV
O P T O M E T R YNV
O P T O M E T R YNV
O P T O M E T R YWA
O P T O M E T R YOR
O P T O M E T R YNV
O P T O M E T R YNV
O P T O M E T R YCA

Reviews

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Frequently asked questions

Does QUAN SAY VONG (OD) have a public NPI I can cite?
Public records show QUAN SAY VONG (OD) under NPI 1114412558.
Quick check: is QUAN SAY VONG (OD) active?
Public NPPES data shows QUAN SAY VONG (OD) with an active NPI status right now.
How should patients interpret QUAN SAY VONG (OD)'s specialty?
The extract shows Optometrist for QUAN SAY VONG (OD). Clinical services aligned with this taxonomy classification.
Which community is linked to QUAN SAY VONG (OD)?
QUAN SAY VONG (OD) shows a connection to Reno, Nevada in registry-derived data.
Who maintains QUAN SAY VONG (OD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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