Individual provider Active NPI

James Burnell Raulino, O.D.

  • Optometrist
  • Reno, NV
National Provider Identifier
1467578872
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
994 Issued in NV
Practice address
18601 Wedge Pkwy # 2C
Reno, NV 89511-3321
Phone
(775) 358-1020
Fax
(775) 358-7951
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X CA9678T CA
Optometrist 152W00000X 994 NV Primary

Addresses

Primary practice location

18601 Wedge Pkwy # 2C
Reno, NV 89511-3321

Mailing address

PO Box 7170
Tahoe City, CA 96145-7170
Phone (530) 583-5004

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
I20181219003570 NV Practitioner - Optometry 7214272236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michelle Wong Optometry PCGroup PAC ID 7719318781, 9 clinicians

Practice addresses (Care Compare)

18601 Wedge Pkwy
Suite 2C
Reno, NV 89511-3321
Phone (775) 827-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CA9678TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pritchett Eye Care PC Optometrist CurrentSince Jan 11, 2024 Accepting new patients
Pritchett Eye Care PC Optometrist Current Accepting new patients
Pritchett Eye Care PC Optometrist CurrentSince Jan 11, 2024 Accepting new patients
Michelle Wong Optometry PC Optometrist Current Accepting new patients
Michelle Wong Optometry PC Optometrist CurrentSince Mar 1, 2024 Accepting new patients
North Lake Eyecare Optometry Optometrist Past Accepting new patients
Michelle Wong Optometry PC Optometrist Past Accepting new patients
Michelle Wong Optometry PC Optometrist Past Accepting new patients
Michelle Wong Optometry PC Optometrist Past Accepting new patients

Locations

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

535 S Arlington Ave
Reno, NV 89509
Phone (775) 323-0157

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

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

10583 Double R Blvd
Reno, NV 89521
Phone (775) 323-4391

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

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 9

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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1467578872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7170",
            "city": "TAHOE CITY",
            "state": "CA",
            "postal_code": "961457170",
            "telephone_number": "530-583-5004",
            "fax_number": "530-583-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18601 WEDGE PKWY # 2C",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895113321",
            "telephone_number": "775-358-1020",
            "fax_number": "775-358-7951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAULINO",
        "first_name": "JAMES",
        "middle_name": "BURNELL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA9678T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.