Individual provider Active NPI

Jacqueline M Donahue, OD

  • Optometrist
  • Reno, NV
National Provider Identifier
1417110396
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
622 Issued in NV
Practice address
500 W Plumb LN Ste a
Reno, NV 89509-3688
Phone
(775) 284-3937
NPI assigned
Jul 9, 2008
Last updated
Sep 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 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 622 NV Primary

Addresses

Primary practice location

500 W Plumb LN Ste a
Reno, NV 89509-3688

Mailing address

3333 Quality Dr
Rancho Cordova, CA 95670-7985
Phone (614) 784-5331

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
I20090624000186 NV Practitioner - Optometry 1355492893 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
622NVMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pritchett Eye Care PC Optometrist CurrentSince May 4, 2009 Accepting new patients
Pritchett Eye Care PC Optometrist Current Accepting new patients
Pritchett Eye Care PC Optometrist CurrentSince May 4, 2009 Accepting new patients
Michelle Wong Optometry PC Optometrist CurrentSince Oct 4, 2023 Accepting new patients
Michelle Wong Optometry PC Optometrist Current Accepting new patients
Pritchett Eye Care PC Optometrist Past Accepting new patients
Pritchett Eye Care PC Optometrist Past Accepting new patients

Locations

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

448 S Maine St
Fallon, NV 89406
Phone (775) 423-7411

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

18601 Wedge Pkwy
Ste 2C
Reno, NV 89511
Phone (775) 358-1020

500 W Plumb Ln
Ste A
Reno, NV 89509
Phone (775) 284-3937

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

9700 S McCarran Blvd
Reno, NV 89523
Phone (775) 746-8884

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

Organizations & group practices 7

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": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1417110396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 QUALITY DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707985",
            "telephone_number": "614-784-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W PLUMB LN STE A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895093688",
            "telephone_number": "775-284-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONAHUE",
        "first_name": "JACQUELINE",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.