WILDCREEK SURGERY CENTER
NPI 1003875873
Clinic/Center - Ambulatory Surgical in Sparks, NV

NPI Status: Active since March 21, 2006

Contact Information

2285 GREEN VISTA DR
SPARKS, NV
ZIP 89431
Phone: (775) 674-1110
Fax: (775) 674-1114

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 29D0936425
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 11-19-2027

About WILDCREEK SURGERY CENTER

This page provides the complete NPI Profile along with additional information for Wildcreek Surgery Center, a provider established in Sparks, Nevada operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1003875873 assigned on March 2006. The practitioner's primary taxonomy code is 261QA1903X with license number 1830ASC-8 (NV). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Douglas K. Devries O.d. (Owner)

NPI
1003875873
Provider Name
WILDCREEK SURGERY CENTER
Entity Type
Organization
Location Address
2285 GREEN VISTA DR SPARKS, NV 89431
Location Phone
(775) 674-1110
Location Fax
(775) 674-1114
Mailing Address
2285 GREEN VISTA DR SPARKS, NV 89431
Mailing Phone
(775) 674-1110
Mailing Fax
(775) 674-1114
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-21-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
1830ASC-8
License State
NV

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DOUGLAS K. DEVRIES O.D.

Authorized Official Title
OWNER
Authorized Official Phone
(775) 674-1110

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Complex removal of cataract with insertion of prosthetic lens

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

This service was performed 97 times for 75 patients

Creation of eye fluid drainage tracts in iris using a laser, per session

This procedure uses a laser to create small drainage tracts in the iris, the colored part of your eye. This helps excess fluid escape, reducing pressure in the eye that can cause glaucoma. It's performed in sessions.

This service was performed 28 times for 14 patients

Incision to improve eye fluid flow

This procedure, known as a trabeculectomy, involves creating a small opening in the eye to improve fluid flow. This can help lower eye pressure in conditions like glaucoma. It's a common, safe procedure to protect your eye health.

This service was performed 25 times for 15 patients

Laser repair to improve eye fluid flow

Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.

This service was performed 71 times for 39 patients

Removal of cataract with insertion of prosthetic lens

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

This service was performed 659 times for 386 patients

Removal of excessive skin and fat of upper eyelid

This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.

This service was performed 42 times for 21 patients

Removal of recurring cataract in lens capsule using a laser

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

This service was performed 330 times for 237 patients

Transplantation of fetal sac tissue to cornea

Transplantation of fetal sac tissue to cornea is a procedure where tissue from a fetal sac is transferred to the eye's cornea. This helps to heal and restore vision in cases of corneal damage or disease. It's a safe procedure performed by skilled doctors.

This service was performed 15 times for 11 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
29D0936425
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
November 20, 2025
Certificate Expiration Date
November 19, 2027
Laboratory Director
PAUL W. HISS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Wildcreek Surgery Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003875873, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
7
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
8
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 8 → 16 → 7 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 1 + 6 + 7 + 1 + 0 + 8 + 1 + 4 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1003875873.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Optometrist
2285 GREEN VISTA DR
SPARKS, NV 89431
Ophthalmology
2285 GREEN VISTA DR
SPARKS, NV 89431
Ophthalmology
2285 GREEN VISTA DR
SPARKS, NV 89431
Optometrist
2285 GREEN VISTA DR
SPARKS, NV 89431
Optometrist
2285 GREEN VISTA DR
SPARKS, NV 89431
Anesthesiology
2285 GREEN VISTA DR
SPARKS, NV 89431
Ophthalmology
2285 GREEN VISTA DR
SPARKS, NV 89431
Optometrist
2285 GREEN VISTA DR
SPARKS, NV 89431

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003875873, enumerated as an "organization" on March 21, 2006.

The provider is located at 2285 GREEN VISTA DR SPARKS, NV 89431 and the phone number is (775) 674-1110.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health. Please consult your insurance carrier or call the provider to verify.