Mayberry Vision, LLC in Reno, NV
This organization bills under NPI 1124700869, an organization record issued on Aug 2, 2023 with the primary taxonomy Optometrist. Each clinician who works there has their own NPI and license.
Organization recordNPPES, Aug 2026
1124700869
- Legal name
- Mayberry Vision, LLC
- Entity
- Type 2 · organization
- Primary taxonomy
- Optometrist 152W00000X
- Practice location
- 3620 MAYBERRY DR STE 103, Reno, NV 89509
- Phone
- 775-525-3377
- Enumerated
- Aug 2, 2023
- Record updated
- Apr 9, 2026
- Authorized official
- Owner (title as filed)
3 clinicians CMS lists with Mayberry Vision in Reno
- Amber Belaustegui, ODOptometrist1689830598
- Erin Polukoshko, ODOptometrist1497886279
- Daniel Rowan, ODOptometrist1639205818
Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.
Checking an organization
- Confirm the business with the Nevada secretary of state.
- Check the HHS-OIG exclusion list for the organization.
- Verify each clinician on their own record and the state license search.
Common questions
Is an organization NPI a license?
No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.
Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.