Individual provider Active NPI

Hersel Lewis, OD

  • Optometrist
  • Stateline, NV
National Provider Identifier
1033116017
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
939 Issued in NV
Practice address
276 Kingsbury Grade # 103
Stateline, NV 89449-9804
Phone
(775) 588-3500
NPI assigned
Jul 5, 2005
Last updated
Jan 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 939 NV Primary
Optometrist 152W00000X 2345T OR

Addresses

Primary practice location

276 Kingsbury Grade # 103
Stateline, NV 89449-9804

Mailing address

9700 S McCarran Blvd
Reno, NV 89523-9203
Phone (775) 827-3937

Other practice location 1

911 Topsy Ln Ste 236
Carson City, NV 89705-8405
Phone (775) 267-9160

Other identifiers 1

IdentifierTypeStateIssuer
071115000OtherORREGENCE BLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171020001959 NV Practitioner - Optometry 1052582814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pritchett Eye Care PCGroup PAC ID 1052390655, 29 clinicians

Practice addresses (Care Compare)

1987 N Carson St
Suite 5
Carson City, NV 89701-1225
Phone (775) 883-2015

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
939NVMDOptometrist
2345TORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pritchett Eye Care PC Optometrist CurrentSince Apr 20, 2024 Accepting new patients
Pritchett Eye Care PC Optometrist Current Accepting new patients
Pritchett Eye Care PC Optometrist CurrentSince Apr 20, 2024 Accepting new patients
Steven L Kline OD a Professional Corporation Optometrist PastSince Jan 31, 2021 Accepting new patients

Locations

1987 N Carson St
Ste 5
Carson City, NV 89701
Phone (775) 883-2015

415 US Highway 95A S
Unit A
Fernley, NV 89408
Phone (775) 575-5700

1701 County Rd
Ste Q
Minden, NV 89423
Phone (775) 782-3937

10459 Double R Blvd
Reno, NV 89521
Phone (775) 827-3030

1095 N Hills Blvd
#B
Reno, NV 89506
Phone (775) 677-1020

285 W Moana Ln
Reno, NV 89509
Phone (702) 826-2477

3915 Baker Ln
Reno, NV 89509
Phone (775) 525-3516

831 Keystone Ave
Reno, NV 89503
Phone (702) 746-2020

1261 Baring Blvd
Sparks, NV 89434
Phone (775) 298-6205

5961 S Los Altos Pkwy
Ste 101
Sparks, NV 89436
Phone (775) 359-2020

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23713/brand/1/csg/1/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1033116017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 S MCCARRAN BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895239203",
            "telephone_number": "775-827-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 KINGSBURY GRADE # 103",
            "city": "STATELINE",
            "state": "NV",
            "postal_code": "894499804",
            "telephone_number": "775-588-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 Topsy Ln Ste 236",
            "address_purpose": "LOCATION",
            "city": "Carson City",
            "state": "NV",
            "postal_code": "897058405",
            "country_code": "US",
            "telephone_number": "775-267-9160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "HERSEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "939",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2345T",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE CROSS",
            "identifier": "071115000",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stateline, NV

Sources for this page

Verify at the official NPI Registry.