Andrea Maldonado, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1033 Issued in NV

Practice address

2295 Kietzke LN
Reno, NV 89502-3604

Phone

(775) 328-1773

NPI assigned

Jul 2, 2019

Last updated

Jul 2, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV, TX2 enrollments

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 2

Specialty

Optometry

Education

Southern California College of Optometry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marc Ellman MD PAGroup PAC ID 2264408152, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andrea.maldonado.p26@direct.avp.nextgenshare.com

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.

• Marc Ellman, M.D., P.a.

  dba Southwest Eye Institute

  • Ophthalmology Physician
  • El Paso, TX
  • NPI 1053530907
  Medicare reassignment Care Compare group NPD
• Pritchett Eye Care PC

  dba ClearVision Eye Centers

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

  dba Pritchett Eye Care Associates (Moana)

  • Optometrist
  • Reno, NV
  • NPI 1225343965
  NPD
• Pritchett Eye Care PC

  dba Pritchett Eye Care Associates (Sparks)

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

  dba ClearVision Eye Centers

  • Optometrist
  • Pahrump, NV
  • NPI 1730664327
  NPD
• William a. Downey O.D. Inc

  • Optometrist
  • South Lake Tahoe, CA
  • NPI 1285779397
  NPD
• Louis M Alpern, M.D., M.P.H., P.a.

  • Specialist
  • El Paso, TX
  • NPI 1013077809

  Optometrist

  NPD (past)
• Southwest Eye Institute, Inc.

  dba ClearSight Center

  • Ophthalmology Physician
  • Oklahoma City, OK
  • NPI 1275661225
  NPD (past)

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1467014118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4955 CIARRA KENNEDY LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895031388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 KIETZKE LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895023604",
            "telephone_number": "775-328-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "ANDREA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "1033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Modern M Makovore, RN
• Curtis R Malacrea
• Hilary Malcarney, MD
• John Malcolm
• Alvaro Maldonado Jr.
• Chanelle Maldonado, PHARMD
• Erica Marie Maldonado, M.S. CCC SLP
• Kimberley Nicole Maldonado, LPN
• Reina Maldonado
• Kelsey Marie Malek

• 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 Jul 2, 2019; 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.