Healthcare Provider Details
I. General information
NPI: 1205990835
Provider Name (Legal Business Name): DR. CHRISTINE SIEBERT PRITCHETT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5961 LOS ALTOS PKWY # 101
SPARKS NV
89436-2500
US
IV. Provider business mailing address
5961 LOS ALTOS PKWY #101
SPARKS NV
89436-2500
US
V. Phone/Fax
- Phone: 775-827-2020
- Fax: 775-359-2676
- Phone: 775-359-2020
- Fax: 775-359-2676
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | NV349 |
| License Number State | NV |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 152WP0200X |
| Taxonomy | Pediatric Optometrist |
| License Number | NV349 |
| License Number State | NV |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: