Healthcare Provider Details

I. General information

NPI: 1588061675
Provider Name (Legal Business Name): PRITCHETT EYE CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2014
Last Update Date: 08/01/2024
Certification Date: 08/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1095 N HILLS BLVD STE B
RENO NV
89506-8691
US

IV. Provider business mailing address

5961 S LOS ALTOS PKWY STE101
SPARKS NV
89436-2501
US

V. Phone/Fax

Practice location:
  • Phone: 775-677-1020
  • Fax: 775-677-0817
Mailing address:
  • Phone: 775-359-2020
  • Fax: 775-359-2676

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberNV0341
License Number StateNV

VIII. Authorized Official

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