DAVIS KOENIG – Optometrist, NPI 1386404382

DAVIS KOENIG is a healthcare provider. based in Fallon, Nevada. specializing in OPTOMETRY. They hold a License No. 1198 (NV). The NPI Number for DAVIS KOENIG is 1386404382

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
DAVIS KOENIG
NPI
1386404382
Phone
(775) 423-8024
Address
65 N TAYLOR ST
Enumeration Date
19 March 2024
Last Update Date
3 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7754238024
Graduation Year
2024 (2 years ago)
PAC ID
2961949748
Group Practice PAC ID
5193616480
Professional Enrollment ID
I20240730002845
Address ID
NV894062750FA65XXXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

386 OPTOMETRY in NV

Provider Addresses for DAVIS KOENIG

  • 65 N TAYLOR ST

    FALLON, NV 894062750

    Phone: (775) 423-8024

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2025-01-23

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
I20240730002845IOptometryNVTBD
I20250123000051IOptometryTXTBD

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 89406)

Loading plans...

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: 5193616480View full group profile
NameSpecialtyState
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

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is there an official ID for DAVIS KOENIG in U.S. healthcare records?
The official identifier for DAVIS KOENIG is NPI 1386404382.
Is there an active status for DAVIS KOENIG?
For scheduling context, DAVIS KOENIG is shown as active in the registry.
What clinical focus is listed for DAVIS KOENIG?
At a glance, DAVIS KOENIG is tied to Optometrist. Clinical services aligned with this taxonomy classification.
Is DAVIS KOENIG associated with Fallon?
Public fields place DAVIS KOENIG around Fallon, Nevada. Always confirm the exact site before visiting.
Can I trust this NPI listing for DAVIS KOENIG?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

Similar Providers

65, North Taylor Street, Fallon, Churchill County, Nevada, 89406, United States
NPI: 1194798231
733 Sun Valley Blvd
NPI: 1033157417
448, South Maine Street, Fallon, Churchill County, Nevada, 89406, United States
NPI: 1841391810
448, South Maine Street, Fallon, Churchill County, Nevada, 89406, United States
NPI: 1073614038
445, South Maine Street, Fallon, Churchill County, Nevada, 89406, United States
NPI: 1528144656
2333 RENO HWY
NPI: 1295878395
65, North Taylor Street, Fallon, Churchill County, Nevada, 89406, United States
NPI: 1396944773
3620 MAYBERRY DR STE 103
NPI: 1689830598
1017 MANOR DR
NPI: 1215368550