Pritchett Eye Care PC
Organization Active NPI Optometrist · Sparks, NV
NPI 1679889372 · NPPES record last updated Feb 20, 2017
Key facts
- NPI
- 1679889372
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- PRITCHETT EYE CARE PC
- Practice address
- 5961 Los Altos Pkwy
Ste 101
Sparks, NV 89436-2500 - Phone
- (775) 359-2020
- Fax
- (775) 359-2676
- NPI assigned
- Aug 19, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Brian Richard Benitz, OD
- Title
- VP Peca
- Phone
- (775) 848-3859
Other NPIs on the same Medicare enrollment 20
Practitioners 67
-
Amy Susan Abraham, O.D.
-
Keri Asraf, OD
-
Laura Faith Bolenbaker, O.D.
-
Heather Carlton, OD
-
Grant David Cox, OD
-
Michael C Crutchfield, O.D.
-
Sandra Deselle, O.D.
-
Ronald W Dutton, O.D.
-
Dennis Farnsworth, O.D.
-
Joseph N Fermin, O.D
-
Robert D Forbes, OD
-
Trisha Fournier, OD
-
Sara Haghani, O. D.
-
Melanie A Hemmer, OD MS
-
Ashley Henkel, OD
-
Tony Jay Jensen, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040716000968 | NV | Part B Supplier - Clinic/Group Practice | 1052390655 |
Receives reassigned benefits from 50 practitioners 20 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Reno, NV; Sparks, NV; Pahrump, NV; Minden, NV; Las Vegas, NV; Henderson, NV; Boulder City, NV; Fernley, NV… |
National Provider Directory
Locations
5961 S Los Altos Pkwy
Ste 101
Sparks, NV 89436
Phone (775) 359-2020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
5961 Los Altos Pkwy
Ste 101
Sparks, NV 89436-2500
Mailing address
5961 Los Altos Pkwy
Ste 101
Sparks, NV 89436-2500
Phone (775) 359-2020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033212030 | Medicaid | NV |
Other names
- Pritchett Eye Care Associates (Sparks)
Other providers in Sparks, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.