Jason Allan Bolenbaker, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

479 Issued in NV

Practice address

6530 S McCarran Blvd
Reno, NV 89509-6112

Phone

(775) 827-1100

NPI assigned

Jul 27, 2006

Last updated

Aug 27, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 2003

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jason Bolenbaker, O.D., PC

  dba Visionary Eye Center

  • Optometrist
  • Reno, NV
  • NPI 1457428989
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1851315212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6530 S MCCARRAN BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096112",
            "telephone_number": "775-827-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6530 S MCCARRAN BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096112",
            "telephone_number": "775-827-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLENBAKER",
        "first_name": "JASON",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Esther Boharsik
• Boheme, LLC
• Sandra Bohie-Kempner
• Matthew Boland, PH.D.
• Julia A Bolduc, OTR/L
• Laura Faith Bolenbaker, O.D.
• Aaron Ray Bolenbaugh, HAS
• Lisa Bolgar, FNP-C
• Channing Bolin
• Brienna Bolta

• Optometrist in Reno, NV
• Providers in Reno, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.