Individual provider Active NPI

Jeanette Cross

  • Optometrist
  • Carson City, NV
National Provider Identifier
1235847492
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1147 Issued in NV
Practice address
111 W Tenth St
Carson City, NV 89703-5201
Phone
(775) 883-4664
NPI assigned
Nov 7, 2022
Last updated
Nov 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1147 NV Primary

Addresses

Primary practice location

111 W Tenth St
Carson City, NV 89703-5201

Mailing address

111 W Tenth St
Carson City, NV 89703-5201

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
I20230109002679 NV Practitioner - Optometry 9830567064 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ruckman Eyecare PCGroup PAC ID 6305011818, 3 clinicians

Practice addresses (Care Compare)

111 W Tenth St
Carson City, NV 89703-5201
Phone (775) 883-4664

Merit-based Incentive Payment System (MIPS)

Final score
89.15 of 100Reported as group
Quality
78.3
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1147NVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor Goldeneye LLC Optometrist CurrentSince Oct 1, 2024 Accepting new patients
Ruckman Eyecare PC Optometrist CurrentSince Dec 17, 2022 Accepting new patients

Locations

111 W Tenth St
Carson City, NV 89703
Phone (775) 883-4664

2425 E 2nd St
Reno, NV 89502
Phone (775) 322-3777

Interoperability endpoints

  • Direct secure messaging: jeanette.cross@direct.revolutionehr.com

Organizations & group practices 2

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": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1235847492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W TENTH ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897035201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W TENTH ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897035201",
            "telephone_number": "775-883-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSS",
        "first_name": "JEANETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "1147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.