Individual provider Active NPI

John Hatley Sutton, O.D.

  • Optometrist
  • Reno, NV
National Provider Identifier
1689771859
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
146 Issued in NV
Practice address
1703 Lakeside Dr
1703 Lakeside Dr
Reno, NV 89509-3409
Phone
(775) 323-1680
Fax
(775) 323-2119
NPI assigned
Sep 20, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 146 NV Primary

Addresses

Primary practice location

1703 Lakeside Dr
1703 Lakeside Dr
Reno, NV 89509-3409

Mailing address

1703 Lakeside Dr
1703 Lakeside Dr
Reno, NV 89509-3409
Phone (775) 323-1680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20080313000010 NV Practitioner - Optometry 8628153764 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
146NVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wilson, Conkey & Associates, P.C. Optometrist CurrentSince Nov 1, 2021 Accepting new patients
William Bee Ririe Hospital CurrentSince Aug 1, 2022 Accepting new patients
William Bee Ririe Hospital Current Accepting new patients
William Bee Ririe Retail Pharmacy CurrentSince Aug 1, 2022 Accepting new patients
Wilson, Conkey & Associates, P.C. Optometrist CurrentSince Nov 1, 2021 Accepting new patients

Locations

1500 Avenue H
Ely, NV 89301
Phone (775) 289-3001

620 Sierra Rose Dr
Reno, NV 89511
Phone (775) 689-4519

Organizations & group practices 6

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1689771859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 LAKESIDE DR",
            "address_2": "1703 LAKESIDE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895093409",
            "telephone_number": "775-323-1680",
            "fax_number": "775-323-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 LAKESIDE DR",
            "address_2": "1703 LAKESIDE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895093409",
            "telephone_number": "775-323-1680",
            "fax_number": "775-323-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "JOHN",
        "middle_name": "HATLEY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.