Healthcare Provider Details

I. General information

NPI: 1679889372
Provider Name (Legal Business Name): PRITCHETT EYE CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2010
Last Update Date: 02/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5961 LOS ALTOS PKWY STE 101
SPARKS NV
89436-2500
US

IV. Provider business mailing address

5961 LOS ALTOS PKWY STE 101
SPARKS NV
89436-2500
US

V. Phone/Fax

Practice location:
  • Phone: 775-359-2020
  • Fax: 775-359-2676
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 Number
License Number State

VIII. Authorized Official

Name: DR. BRIAN RICHARD BENITZ
Title or Position: VP PECA
Credential: OD
Phone: 775-848-3859