Healthcare Provider Details

I. General information

NPI: 1356379408
Provider Name (Legal Business Name): PRITCHETT EYE CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1627 NEVADA HWY
BOULDER CITY NV
89005-1908
US

IV. Provider business mailing address

1627 BOULDER CITY PKWY
BOULDER CITY NV
89005-1908
US

V. Phone/Fax

Practice location:
  • Phone: 702-294-2227
  • Fax: 702-293-3723
Mailing address:
  • Phone: 702-294-2227
  • Fax: 702-293-3723

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number234
License Number StateNV

VIII. Authorized Official

Name: JONATHAN MARK CHRISTIANSEN
Title or Position: CEO
Credential:
Phone: 714-356-8451