Active NPI
Jonathan Mark Christiansen, O.D.
- Optometrist
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 550
- Practice address
- 4485 S Pecos Rd
Las Vegas, NV 89121-5029 - Phone
- (702) 737-0097
- NPI assigned
- Jul 13, 2006
- Last updated
- Sep 6, 2012
- 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 | 550 | NV | Primary |
Addresses
Primary practice location
4485 S Pecos Rd
Las Vegas, NV 89121-5029
Mailing address
1196 Brockley Cross St
Henderson, NV 89002-3362
Phone (714) 356-8451
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
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 |
| Century Vision Center, CHTD. | Optometrist | Past | Accepting new patients |
| Douglas D Lee OD LTD | Optometrist | Past | Accepting new patients |
| Pritchett Eye Care PC | Optometrist | Past | Accepting new patients |
| Pritchett Eye Care PC | Optometrist | Past | Accepting new patients |
Locations
1627 Boulder City Pkwy
Boulder City, NV 89005
Phone (702) 294-2227
143 S Water St
Henderson, NV 89015
Phone (702) 944-9446
10870 W Charleston Blvd
Ste 105
Las Vegas, NV 89135
Phone (702) 877-3937
4485 S Pecos Rd
Las Vegas, NV 89121
Phone (702) 737-0097
8230 W Sahara Ave
Ste 121
Las Vegas, NV 89117
Phone (702) 944-2001
1601 E Basin Ave
Ste 101
Pahrump, NV 89060
Phone (775) 751-1791
5961 S Los Altos Pkwy
Ste 101
Sparks, NV 89436
Phone (775) 359-2020
Interoperability endpoints
- jon.christiansen@direct.revolutionehr.com
Organizations & group practices 25
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.
-
dba Pritchett Eye Care Associates (Keystone)
- Optometrist
- Reno, NV
- NPI 1326353061
-
- Optometrist
- Henderson, NV
- NPI 1154741627
-
dba Clearvision Eye Center
- Optometrist
- Henderson, NV
- NPI 1821402181
-
- Optometrist
- Henderson, NV
- NPI 1053278747
-
dba Pritchett Eye Care Associates (Carson)
- Optometrist
- Carson City, NV
- NPI 1326351925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346889600000",
"number": "1750306395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1196 BROCKLEY CROSS ST",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890023362",
"telephone_number": "714-356-8451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4485 S PECOS RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891215029",
"telephone_number": "702-737-0097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTIANSEN",
"first_name": "JONATHAN",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2012-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NV",
"license": "550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.