Jason Allan Bolenbaker, O.D.
Individual provider Active NPI Optometrist · Reno, NV
NPI 1851315212 · NPPES record last updated Aug 27, 2026
Key facts
- NPI
- 1851315212
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 479 (NV)
- Practice address
- 6530 S McCarran Blvd
Reno, NV 89509-6112 - Phone
- (775) 827-1100
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 2003
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6530 S McCarran Blvd
Reno, NV 89509-6112
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050628001391 | NV | Practitioner - Optometry | 5597700906 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jason Bolenbaker, O.D., PC | Optometrist | Current |
Accepting new patients |
Locations
8175 S Virginia St
Ste B900
Reno, NV 89511
Phone (775) 827-1100
8175 S Virginia St
#B900
Reno, NV 89511
Phone (775) 827-1100
8175 S Virginia St
Reno, NV 89511
Phone (775) 827-1100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 479 | NV | Yes |
Addresses
Primary practice location
6530 S McCarran Blvd
Reno, NV 89509-6112
Mailing address
6530 S McCarran Blvd
Reno, NV 89509-6112
Phone (775) 827-1100
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2026. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.