Roger Mateossian, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

NV126 Issued in NV

Practice address

3915 Baker Lane
Reno, NV 89509-5544

Phone

(775) 825-3232

Fax

(775) 689-2494

NPI assigned

Oct 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Other, 1971

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)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pritchett Eye Care PC

  • Optometrist
  • Sparks, NV
  • NPI 1962717603
  Medicare reassignment Care Compare group
• Pritchett Eye Care PC

  • Optometrist
  • Reno, NV
  • NPI 1508171240
  NPD
• Pritchett Eye Care PC

  • Optometrist
  • Sparks, NV
  • NPI 1679889372
  NPD
• Pritchett Eye Care PC

  • Optometrist
  • Pahrump, NV
  • NPI 1730664327
  NPD

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": "1275618597",
    "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": "894348673",
            "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": "3915 BAKER LANE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095544",
            "telephone_number": "775-825-3232",
            "fax_number": "775-689-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATEOSSIAN",
        "first_name": "ROGER",
        "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": "NV126",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA5302",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "489",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00244142",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melodie M Masterson
• Katelyn Mata
• Sergio Mata
• Sonia Matanier
• Leslie Matejcek
• Mater Academy of Northern Nevada
• Maternal Infant Lactation Center
• Eric M. Math, M.D.
• Justin Reji Mathew, PHARMD
• Claudia Leigh Mathews

• Optometrist in Reno, NV
• Providers in Reno, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.