Individual provider Active NPI

Don D Staten, OD

  • Optometrist
  • Sparks, NV
National Provider Identifier
1053496448
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NV168 Issued in NV
Practice address
1261 Baring Blvd
Sparks, NV 89434-8673
Phone
(775) 353-5665
Fax
(775) 353-5660
NPI assigned
Oct 26, 2006
Last updated
Dec 7, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NV168 NV Primary
Optometrist 152W00000X 1015 CO
Optometrist 152W00000X OPT7580 CA

Addresses

Primary practice location

1261 Baring Blvd
Sparks, NV 89434-8673

Mailing address

1261 Baring Blvd
Sparks, NV 89436-8673
Phone (775) 353-5665

Other identifiers 1

IdentifierTypeStateIssuer
410003582OtherRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100423000800 NV Practitioner - Optometry 0143281766 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT7580CAMDOptometrist
1015COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pritchett Eye Care PC Optometrist CurrentSince Dec 1, 2017 Accepting new patients
Pritchett Eye Care PC Optometrist Current Accepting new patients
Pritchett Eye Care PC Optometrist CurrentSince Dec 1, 2017 Accepting new patients

Locations

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

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

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

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

Organizations & group practices 6

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1053496448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 BARING BLVD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894368673",
            "telephone_number": "775-353-5665",
            "fax_number": "775-353-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 BARING BLVD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894348673",
            "telephone_number": "775-353-5665",
            "fax_number": "775-353-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATEN",
        "first_name": "DON",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "NV168",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1015",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT7580",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410003582",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.