Individual provider Active NPI

Jeanine M Osaurus, OD

  • Optometrist
  • Sparks, NV
National Provider Identifier
1679057913
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4398ATI Issued in OR
Practice address
5961 S Los Altos Pkwy Ste 101
Sparks, NV 89436-2501
Phone
(775) 359-2020
NPI assigned
Sep 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4398ATI OR Primary

Addresses

Primary practice location

5961 S Los Altos Pkwy Ste 101
Sparks, NV 89436-2501

Mailing address

5961 S Los Altos Pkwy Ste 101
Sparks, NV 89436-2501
Phone (775) 359-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181108000783 OR Practitioner - Optometry 9436403557 Reassigns benefits to 1 organization
I20211116001856 NV Practitioner - Optometry 9436403557 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4398ATIORMDOptometrist
4398ORMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Pritchett Eye Care PC Optometrist CurrentSince Nov 15, 2021 Accepting new patients
Pritchett Eye Care PC Optometrist Current Accepting new patients
Oregon Optometry and Contact Lenses LLC Optometrist CurrentSince Oct 31, 2023 Accepting new patients
Pritchett Eye Care PC Optometrist CurrentSince Nov 15, 2021 Accepting new patients

Locations

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

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

1095 N Hills Blvd
#B
Reno, NV 89506
Phone (775) 677-1020

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

10225 SW Hall Blvd
Ste 101
Tigard, OR 97223
Phone (503) 244-1004

Organizations & group practices 5

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": "1537574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1679057913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5961 S LOS ALTOS PKWY STE 101",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894362501",
            "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 S LOS ALTOS PKWY STE 101",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894362501",
            "telephone_number": "775-359-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSAURUS",
        "first_name": "JEANINE",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-22",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "4398ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.