MEDICARE: PRITCHETT EYE CARE PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist		NV

General Provider Information

NPI Number	:	1730106816
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRITCHETT EYE CARE PC

Provider Business Mailing Address
First Line	:	4485 S PECOS RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-5029
Country	:	US
Telephone Number	:	702-737-0097
Fax Number	:	702-737-5801

Provider Business Practice Location Address
First Line	:	4485 S PECOS RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-5029
Country	:	US
Telephone Number	:	702-737-0097
Fax Number	:	702-737-5801

Authorized Official
Title or Position	:	CEO
Name	:	JONATHAN MARK CHRISTIANSEN
Credential	:
Telephone Number	:	714-356-8451

Provider Enumeration Date	:	07/16/2006
Last Update Date	:	09/22/2025

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