Individual provider Active NPI

Trisha Fournier, OD

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1083097380
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1046 Issued in NV
Practice address
4175 S Grand Canyon Dr Ste 105
Las Vegas, NV 89147-7155
Phone
(702) 912-4254
Fax
(702) 847-7624
NPI assigned
Jul 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.0003205 CO
Optometrist 152W00000X 1046 NV Primary

Addresses

Primary practice location

4175 S Grand Canyon Dr Ste 105
Las Vegas, NV 89147-7155

Mailing address

9853 Bangalore CT
Las Vegas, NV 89148-5804
Phone (303) 946-9642

Other identifiers 1

IdentifierTypeStateIssuer
1046OtherNVSTATE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170914000963 CO Practitioner - Optometry 9537475355 Reassigns benefits to 1 organization
I20240216001149 NV Practitioner - Optometry 9537475355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4155 S Grand Canyon Dr
Las Vegas, NV 89147-7123

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1046NVMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pritchett Eye Care PC Optometrist CurrentSince Nov 20, 2024 Accepting new patients
Pritchett Eye Care PC Optometrist CurrentSince Nov 20, 2024 Accepting new patients
Jason Jost OD PC Optometrist CurrentSince Jul 22, 2017 Accepting new patients
Pritchett Eye Care PC Optometrist Current Accepting new patients
Eyediology Vision Care Burke PLLC Optometrist CurrentSince Sep 1, 2025 Accepting new patients
Desert Cliffs Eyecare, PLLC Optometrist CurrentSince Jan 1, 2024 Accepting new patients
Akvc North LLC Optometrist PastSince Nov 1, 2019 Accepting new patients
Pritchett Eye Care PC Optometrist Past Accepting new patients

Locations

710 N Circle Dr
Colorado Springs, CO 80909
Phone (719) 632-1587

4175 S Grand Canyon Dr
Ste 105
Las Vegas, NV 89147
Phone (702) 743-6100

8230 W Sahara Ave
Ste 121
Las Vegas, NV 89117
Phone (702) 944-2001

7335 S Pecos Rd
Las Vegas, NV 89120
Phone (702) 451-1522

4155 S Grand Canyon Dr
Las Vegas, NV 89147
Phone (702) 251-1450

10870 W Charleston Blvd
Ste 105
Las Vegas, NV 89135
Phone (702) 877-3937

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

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1083097380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9853 BANGALORE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485804",
            "telephone_number": "303-946-9642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4175 S GRAND CANYON DR STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891477155",
            "telephone_number": "702-912-4254",
            "fax_number": "702-847-7624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOURNIER",
        "first_name": "TRISHA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-06",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003205",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "1046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "1046",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.