Active NPI
James A Soumbeniotis, OD
- Optometrist
- Reno, NV
National Provider Identifier
1598848111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 115
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115 | Other | NV | OPTOMETRIC 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pritchett Eye Care PC | Optometrist | Current | Accepting new patients |
| Pritchett Eye Care PC | Optometrist | Current | 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.
-
- Optometrist
- Sparks, NV
- NPI 1962717603
-
- Optometrist
- Reno, NV
- NPI 1508171240
-
- Optometrist
- Sparks, NV
- NPI 1679889372
-
- Optometrist
- Pahrump, NV
- NPI 1730664327
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.