Provider Demographics
NPI:1205990835
Name:PRITCHETT, CHRISTINE SIEBERT
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:SIEBERT
Last Name:PRITCHETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:SIEBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:5961 LOS ALTOS PKWY
Mailing Address - Street 2:#101
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89436-2500
Mailing Address - Country:US
Mailing Address - Phone:775-359-2020
Mailing Address - Fax:775-359-2676
Practice Address - Street 1:5961 LOS ALTOS PKWY
Practice Address - Street 2:# 101
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89436-2500
Practice Address - Country:US
Practice Address - Phone:775-827-2020
Practice Address - Fax:775-359-2676
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV349152W00000X, 152WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered152W00000XEye and Vision Services ProvidersOptometrist
Not Answered152WP0200XEye and Vision Services ProvidersOptometristPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVU67873Medicare UPIN