Individual provider Active NPI

Bradley Waite, O.D.

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1487095212
Registry record updated Dec 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
764 Issued in NV
Practice address
7335 S Pecos Rd
Suite #101
Las Vegas, NV 89120-3735
Phone
(702) 451-1522
NPI assigned
Jul 9, 2013
Last updated
Dec 10, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 764 NV Primary

Addresses

Primary practice location

7335 S Pecos Rd
Suite #101
Las Vegas, NV 89120-3735

Mailing address

7335 S Pecos Rd
Suite #101
Las Vegas, NV 89120-3735
Phone (702) 451-1522

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
I20140408002052 NV Practitioner - Optometry 8921230863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2013
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)

10870 W Charleston Blvd
Suite 105
Las Vegas, NV 89135-1159
Phone (702) 877-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pritchett Eye Care PC Optometrist CurrentSince Dec 1, 2016 Accepting new patients
Pritchett Eye Care PC Optometrist Current Accepting new patients
Pritchett Eye Care PC Optometrist CurrentSince Dec 1, 2016 Accepting new patients
Desert Springs Hospital Past Accepting new patients
Dignity Health Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Century Vision Center, CHTD. Optometrist Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Pritchett Eye Care PC Optometrist Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients

Locations

1627 Boulder City Pkwy
Boulder City, NV 89005
Phone (702) 294-2227

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

143 S Water St
Henderson, NV 89015
Phone (702) 944-9446

10870 W Charleston Blvd
Ste 105
Las Vegas, NV 89135
Phone (702) 877-3937

4485 S Pecos Rd
Las Vegas, NV 89121
Phone (702) 737-0097

7335 S Pecos Rd
Las Vegas, NV 89120
Phone (702) 451-1522

7335 S Pecos Rd
Ste 101
Las Vegas, NV 89120
Phone (702) 451-1522

8230 W Sahara Ave
Ste 121
Las Vegas, NV 89117
Phone (702) 944-2001

9895 S Maryland Pkwy
Ste D
Las Vegas, NV 89183
Phone (702) 435-3937

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

1601 E Basin Ave
Ste 101
Pahrump, NV 89060
Phone (775) 751-1791

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

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

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

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

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

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

Interoperability endpoints

  • Direct secure messaging: brad.waite@direct.revolutionehr.com

Organizations & group practices 11

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": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418169600000",
    "number": "1487095212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7335 S PECOS RD",
            "address_2": "SUITE #101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203735",
            "telephone_number": "702-451-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7335 S PECOS RD",
            "address_2": "SUITE #101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203735",
            "telephone_number": "702-451-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAITE",
        "first_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-09",
        "last_updated": "2014-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.