Individual provider Active NPI

Michael Keyes, OD

  • Optometrist
  • Reno, NV
National Provider Identifier
1336224625
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NV189 Issued in NV
Practice address
3915 Baker Lane
Reno, NV 89509
Phone
(775) 825-3232
Fax
(775) 689-2494
NPI assigned
Oct 26, 2006
Last updated
Feb 20, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NV189 NV Primary
Optometrist 152W00000X 3542 OH

Addresses

Primary practice location

3915 Baker Lane
Reno, NV 89509

Mailing address

1261 Baring Blvd
Sparks, NV 89434-8673
Phone (775) 353-5665

Other identifiers 1

IdentifierTypeStateIssuer
P00258082OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3542OHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pritchett Eye Care PC Optometrist CurrentSince Dec 1, 2017 Accepting new patients
Pritchett Eye Care PC Optometrist Current Accepting new patients
Pritchett Eye Care PC Optometrist CurrentSince Dec 1, 2017 Accepting new patients

Locations

285 W Moana Ln
Reno, NV 89509
Phone (702) 826-2477

3915 Baker Ln
Reno, NV 89509
Phone (775) 525-3516

1261 Baring Blvd
Sparks, NV 89434
Phone (775) 298-6205

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

Organizations & group practices 3

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1336224625",
    "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": "89509",
            "telephone_number": "775-825-3232",
            "fax_number": "775-689-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYES",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "NV189",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3542",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00258082",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.