Organization Active NPI

John H Sutton OD, LTD.

  • Optometrist
  • Reno, NV
National Provider Identifier
1275701104
Registry record updated Feb 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
146 Issued in NV
Legal business name
JOHN H SUTTON OD, LTD.
Practice address
1703 Lakeside Dr
Reno, NV 89509-3409
Phone
(775) 323-1680
Fax
(775) 323-2119
NPI assigned
Feb 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2009

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

Authorized official

Name
Dr. John Hatley Sutton, OD
Title
President
Phone
(775) 323-1680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 146 NV Primary

Addresses

Primary practice location

1703 Lakeside Dr
Reno, NV 89509-3409

Mailing address

1703 Lakeside Dr
Reno, NV 89509-3409
Phone (775) 323-1680

Other identifiers 2

IdentifierTypeStateIssuer
1689771859OtherNVINDIVIDUAL NPI
002516020MedicaidNV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1275701104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 LAKESIDE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895093409",
            "telephone_number": "775-323-1680",
            "fax_number": "775-323-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 LAKESIDE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895093409",
            "telephone_number": "775-323-1680",
            "fax_number": "775-323-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN H SUTTON OD, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "HATLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-323-1680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1689771859",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002516020",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.