Individual provider Active NPI

James A Soumbeniotis, OD

  • Optometrist
  • Reno, NV
National Provider Identifier
1598848111
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
115 Issued in NV
Practice address
285 W Moana LN
Reno, NV 89509-4905
Phone
(775) 826-2477
Fax
(775) 826-1524
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 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 115 NV Primary

Addresses

Primary practice location

285 W Moana LN
Reno, NV 89509-4905

Mailing address

5961 Los Altos Pkwy
Ste 101
Sparks, NV 89436-2500
Phone (775) 359-2020

Other identifiers 1

IdentifierTypeStateIssuer
115OtherNVOPTOMETRIC LIC.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051013000677 NV Practitioner - Optometry 2466477963 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pritchett Eye Care PC Optometrist CurrentSince Aug 22, 2010 Accepting new patients
Pritchett Eye Care PC Optometrist CurrentSince Aug 22, 2010 Accepting new patients
Pritchett Eye Care PC Optometrist Current Accepting new patients

Locations

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

Organizations & group practices 4

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1598848111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5961 LOS ALTOS PKWY",
            "address_2": "STE 101",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894362500",
            "telephone_number": "775-359-2020",
            "fax_number": "775-359-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 W MOANA LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094905",
            "telephone_number": "775-826-2477",
            "fax_number": "775-826-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUMBENIOTIS",
        "first_name": "JAMES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRIC LIC.",
            "identifier": "115",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.