Individual provider Active NPI

Laura Faith Bolenbaker, O.D.

  • Optometrist
  • Reno, NV
National Provider Identifier
1871534768
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0528 Issued in NV
Practice address
10459 Double R Blvd
Reno, NV 89521-8905
Phone
(775) 827-3030
Fax
(775) 827-5479
NPI assigned
Jun 9, 2006
Last updated
Jan 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0528 NV Primary

Addresses

Primary practice location

10459 Double R Blvd
Reno, NV 89521-8905

Mailing address

5961 Los Altos Pkwy
Ste. 101
Sparks, NV 89436-2500
Phone (775) 359-2020

Other names 1

  • Laura Faith Bolenbaker Professional name

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
I20070529000552 NV Practitioner - Optometry 5597862433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pritchett Eye Care PCGroup PAC ID 1052390655, 29 clinicians

Practice addresses (Care Compare)

285 W Moana LN
Reno, NV 89509-4905
Phone (775) 826-2477

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0528NVMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pritchett Eye Care Optometrist CurrentSince Aug 14, 2017 Accepting new patients
Pritchett Eye Care PC Optometrist Current Accepting new patients
Pritchett Eye Care PC Optometrist CurrentSince Aug 14, 2017 Accepting new patients
Pritchett Eye Care PC Optometrist Past Accepting new patients

Locations

10459 Double R Blvd
Reno, NV 89521
Phone (775) 827-3030

1095 N Hills Blvd
#B
Reno, NV 89506
Phone (775) 677-1020

285 W Moana Ln
Reno, NV 89509
Phone (702) 826-2477

5961 S Los Altos Pkwy
Ste 101
Sparks, NV 89436
Phone (775) 359-2020

Organizations & group practices 5

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1871534768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5961 LOS ALTOS PKWY",
            "address_2": "STE. 101",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894362500",
            "telephone_number": "775-359-2020",
            "fax_number": "775-359-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10459 DOUBLE R BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895218905",
            "telephone_number": "775-827-3030",
            "fax_number": "775-827-5479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLENBAKER",
        "first_name": "LAURA",
        "middle_name": "FAITH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "0528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "BOLENBAKER",
            "middle_name": "FAITH",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.