TAIRA ENEWOLD (OD) – Optometrist, NPI 1134454218

TAIRA ENEWOLD (OD) is a healthcare provider. based in Reno, Nevada. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 3464 (OR). The NPI Number for TAIRA ENEWOLD (OD) is 1134454218

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
TAIRA ENEWOLD (OD)
NPI
1134454218
Phone
(775) 329-5162
Address
1715 KUENZLI ST
Enumeration Date
7 October 2009
Last Update Date
26 January 2016

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
7753295162
Graduation Year
2012 (14 years ago)
PAC ID
4385884931
Group Practice PAC ID
6507761897
Professional Enrollment ID
I20210305000184
Address ID
NV895021117RE1715XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

386 OPTOMETRY in NV

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Provider Addresses for TAIRA ENEWOLD (OD)

  • 1715, Kuenzli Street, Reno, Washoe County, Nevada, 89502, United States

    RENO, NV 895021117

    Phone: (775) 329-5162

    Fax: (775) 334-4356

    Mailing address matches the actual address.

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: 2021-03-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20130703000124IOptometryNVTBD
I20210305000184IOptometryTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2116$0
92250Photography of the retina2020$0
99214Established patient office or other outpatient visit, 30-39 minutes2019$0
92012Established patient problem focused exam of visual system1919$0
92014Established patient complete exam of visual system1919$0
View full utilization report →

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: 6507761897View full group profile
NameSpecialtyState
Clinical PsychologistNV
Family PracticeID
-CA
O P T O M E T R YNV
Nurse PractitionerNV
Internal MedicinePA
Nurse PractitionerNV
Internal Medicine, Geriatric MedicineNV
Physician AssistantNV
Registered Dietitian Or Nutrition ProfessionalNV

Reviews

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Frequently asked questions

What identifier follows TAIRA ENEWOLD (OD) across health systems?
The NPI 1134454218 uniquely identifies TAIRA ENEWOLD (OD) in U.S. healthcare data.
Should I treat TAIRA ENEWOLD (OD) as an active provider?
Patients and plans typically see TAIRA ENEWOLD (OD) as active in the national extract.
What type of care does TAIRA ENEWOLD (OD) provide?
TAIRA ENEWOLD (OD)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to TAIRA ENEWOLD (OD)?
TAIRA ENEWOLD (OD) is associated with Reno, Nevada in the same public data insurers reference.
Can I export TAIRA ENEWOLD (OD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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