=====================================================
General NPI Number Information
=====================================================
NPI Number | 1225259419
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PRITCHETT EYE CARE PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/02/2007
-----------------------------------------------------
Last Update Date | 09/22/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7335 S PECOS RD
-----------------------------------------------------
City | LAS VEGAS
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89120-3735
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 702-451-1522
-----------------------------------------------------
Fax | 702-456-1813
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7335 S PECOS RD
-----------------------------------------------------
City | LAS VEGAS
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89120-3735
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 702-451-1522
-----------------------------------------------------
Fax | 702-456-1813
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | JONATHAN MARK CHRISTIANSEN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 714-356-8451
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 152W00000X
-----------------------------------------------------
Taxonomy Name | Optometrist
-----------------------------------------------------
License Number | 234
-----------------------------------------------------
License Number State | NV
-----------------------------------------------------