Individual provider Active NPI

Evan F Pritchett, OD

  • Optometrist
  • Sparks, NV
National Provider Identifier
1619912508
Registry record updated Mar 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
341 Issued in NV
Practice address
5961 Los Altos Pkwy
Suite 101
Sparks, NV 89436-2500
Phone
(775) 359-2020
Fax
(775) 359-2676
NPI assigned
Jun 17, 2006
Last updated
Mar 25, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 341 NV Primary

Addresses

Primary practice location

5961 Los Altos Pkwy
Suite 101
Sparks, NV 89436-2500

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20200305000243 GA Practitioner - Optometry 5496734006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pritchett Eye Care LLCGroup PAC ID 4981030673, 3 clinicians

Practice addresses (Care Compare)

3005 Old Alabama Rd
Suite 300
Johns Creek, GA 30022-1904
Phone (678) 393-9445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
341NVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pritchett Eye Care LLC Optometrist CurrentSince Sep 3, 2019 Accepting new patients
G3B Optical Holdings, LLC Optometrist CurrentSince Sep 3, 2019 Accepting new patients
20 20 Vision, LLC Optometrist PastSince Apr 28, 2011 Accepting new patients

Locations

3005 Old Alabama Rd
Ste 300
Johns Creek, GA 30022
Phone (678) 230-3846

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, 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": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301011200000",
    "number": "1619912508",
    "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": "5961 LOS ALTOS PKWY",
            "address_2": "SUITE 101",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894362500",
            "telephone_number": "775-359-2020",
            "fax_number": "775-359-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRITCHETT",
        "first_name": "EVAN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2011-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.