Individual provider Active NPI

Matthew C Moerdick, O.D.

  • Optometrist
  • Reno, NV
National Provider Identifier
1407417280
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1032 Issued in NV
Practice address
10459 Double R Blvd
Reno, NV 89521-8905
Phone
(775) 827-3030
Fax
(758) 275-4797
NPI assigned
Jun 24, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1032 NV Primary

Addresses

Primary practice location

10459 Double R Blvd
Reno, NV 89521-8905

Mailing address

10064 Casazza Ranch LN
Reno, NV 89511-1517
Phone (775) 315-2849

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
I20190813003736 NV Practitioner - Optometry 4587991534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2019
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)

5961 S Los Altos Pkwy
Suite 101
Sparks, NV 89436-2501
Phone (775) 359-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1032NVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pritchett Eye Care PC Optometrist CurrentSince Aug 1, 2019 Accepting new patients
Pritchett Eye Care PC Optometrist Current Accepting new patients
Pritchett Eye Care PC Optometrist CurrentSince Aug 1, 2019 Accepting new patients
Pritchett Eye Care PC Optometrist Past Accepting new patients
Pritchett Eye Care PC Optometrist Past Accepting new patients
Pritchett Eye Care PC Optometrist Past Accepting new patients
Pritchett Eye Care PC Optometrist Past Accepting new patients

Locations

1987 N Carson St
Ste 5
Carson City, NV 89701
Phone (775) 883-2015

415 US Highway 95A S
Unit A
Fernley, NV 89408
Phone (775) 575-5700

1701 County Rd
Ste Q
Minden, NV 89423
Phone (775) 782-3937

1095 N Hills Blvd
#B
Reno, NV 89506
Phone (775) 677-1020

831 Keystone Ave
Reno, NV 89503
Phone (702) 746-2020

10459 Double R Blvd
Reno, NV 89521
Phone (775) 827-3030

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

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

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

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

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1407417280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10064 CASAZZA RANCH LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111517",
            "telephone_number": "775-315-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10459 DOUBLE R BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895218905",
            "telephone_number": "775-827-3030",
            "fax_number": "758-275-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOERDICK",
        "first_name": "MATTHEW",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-24",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "1032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.