NPIMap

Organization Active NPI

Retina Consultants of Nevada LLP

Doing business as Sierra Nevada Eye Center

  • Ophthalmology Physician
  • Carson City, NV
National Provider Identifier
1215504196
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
RETINA CONSULTANTS OF NEVADA LLP
Doing business as
Sierra Nevada Eye Center
Practice address
3475 GS Richards Blvd Ste 130
Carson City, NV 89703-8462
Phone
(775) 841-2000
Fax
(775) 841-4200
NPI assigned
Jun 8, 2021
Last updated
Oct 9, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
RETINA CONSULTANTS OF NEVADA LLPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Authorized official

Name
Sheli Crabtree
Title
Senior Credentialing Manager
Phone
(512) 314-1613

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU
Ophthalmology Physician 207W00000X NU Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X NU

Addresses

Primary practice location

3475 GS Richards Blvd Ste 130
Carson City, NV 89703-8462

Mailing address

3475 GS Richards Blvd
Carson City, NV 89703-8462
Phone (775) 841-2000

Other practice location 1

9468 Double R Blvd Ste B
Reno, NV 89521-4808
Phone (775) 322-3333

Other practice location 2

75 Pringle Way Ste 605
Reno, NV 89502-1472
Phone (775) 841-2000

Other identifiers 1

IdentifierTypeStateIssuer
1215504196MedicaidNV

Other names 1

  • SIERRA NEVADA EYE CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040324000678 NV Part B Supplier - Clinic/Group Practice 5193616449 Receives reassigned benefits from 16 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Reno, NV; Mesquite, NV; Las Vegas, NV; Henderson, NV; Carson City, NV; Boulder City, NV

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Retina Consultants of Nevada LLP4 organizations share this tax ID, including this one
Part of
Retina Consultants of Nevada LLP

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3475 Gs Richards Blvd
#130
Carson City, NV 89703
Phone (775) 841-2000

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1215504196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 GS RICHARDS BLVD",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897038462",
            "telephone_number": "775-841-2000",
            "fax_number": "778-584-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 GS RICHARDS BLVD STE 130",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897038462",
            "telephone_number": "775-841-2000",
            "fax_number": "775-841-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9468 Double R Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895214808",
            "country_code": "US",
            "telephone_number": "775-322-3333",
            "fax_number": "775-322-3340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 Pringle Way Ste 605",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895021472",
            "country_code": "US",
            "telephone_number": "775-841-2000",
            "fax_number": "775-841-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RETINA CONSULTANTS OF NEVADA LLP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RETINA CONSULTANTS OF NEVADA LLP",
        "enumeration_date": "2021-06-08",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "CRABTREE",
        "authorized_official_first_name": "SHELI",
        "authorized_official_title_or_position": "SENIOR CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "512-314-1613"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215504196",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIERRA NEVADA EYE CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SIERRA NEVADA EYE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.