DR. MATTHEW C MOERDICK (NPI# 1407417280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407417280 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW C MOERDICK |
| Credential | O.D. |
| Practice Address |
5961 S Los Altos Pkwy Ste 101 Sparks NV 89436-2501 |
| Mailing Address |
2232 Ticino Ct Sparks NV 89434-2108 |
| Practice Telephone | 7753592020 |
| Practice Fax Number | 7753592676 |
| Mailing Telephone | 7753152849 |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1032 | NV | Eye and Vision Services Providers |
| Street Address |
5961 S LOS ALTOS PKWY STE 101 |
| City | SPARKS |
| State | NV |
| Zip Code | 89436-2501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730168071 | Keith J. Castleton | Optometrist | 5961 S Los Altos Pkwy Ste 101, Ste 101, Sparks, NV 89436-2501 | 2006-01-13 |
| 1598243396 | Timothy Huntting | Optometrist | 5961 S Los Altos Pkwy Ste 101, Sparks, NV 89436-2501 | 2018-08-02 |
| 1386138121 | Kiran Gill | Optometrist | 5961 S Los Altos Pkwy Ste 101, Sparks, NV 89436 | 2018-06-15 |
| 1992205363 | Melissa D Macco | Optometrist | 5961 S Los Altos Pkwy Ste 101, Sparks, NV 89436 | 2018-02-13 |
| 1821297896 | Christina Michelle Danley | Optometrist | 5961 S Los Altos Pkwy Ste 101, Sparks, NV 89436-2501 | 2007-07-11 |
| 1043280860 | Janet Lee Carter | Optometrist | 5961 S Los Altos Pkwy Ste 101, Sparks, NV 89436-2501 | 2006-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063049161 | Defined Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 2430 Old Waverly Ct, Sparks, NV 89436 | 2020-03-26 |
| 1093208845 | D'artois T. Harper | Technician | 1963 E. Prater Way, Sparks, NV 89436 | 2018-06-07 |
| 1871014894 | Taylor Sexton | Behavior Technician | 4676 Chipwood Drive, Sparks, NV 89436 | 2017-06-29 |
| 1225408701 | Megan-vinh Quang Dinh | Dentist | 4760 Galleria Pkwy Ste 104, Sparks, NV 89436 | 2015-09-28 |
| 1396123410 | Capri Dubois | Community/Behavioral Health | 5200 South Los Altos Parkway, Unit 185, Sparks, NV 89436 | 2015-05-08 |
| 1750641627 | Randi Melvin Melvin | Behavioral Analyst | 3723 Arcturas Ct, Sparks, NV 89436 | 2012-05-24 |
| 1750661559 | Timothy D. Mckenna | Counselor | 480 Galletti Wy, 8b & 8c, Sparks, NV 89436 | 2011-08-24 |
| 1487895405 | Susan Mary Field | Nurse Practitioner | 5070 Ion Dr Ste 100, Sparks, NV 89436 | 2009-03-20 |
| 1912145046 | Joseph Charles Ravelli | Specialist/Technologist, Other | 6740 Bambey Dr, Sparks, NV 89436 | 2009-01-28 |
| 1609027663 | Raleys | Pharmacy | 2389 Wingfield Hills Road, Sparks, NV 89436 | 2008-10-08 |
| Find all providers in zip 89436 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366904328 | Vision Consultants | Optometrist | 2121 E Prater Way, Sparks, NV 89434-9622 | 2019-04-01 |
| 1962717603 | Pritchett Eye Care PC | Optometrist | 5961 S Los Altos Pkwy, Sparks, NV 89436-2500 | 2010-08-17 |
| 1669557948 | Eyetech Visioncare, Ltd | Optometrist | 1261 Baring Blvd, Sparks, NV 89434-8673 | 2006-10-26 |
| 1518049014 | Fanny W Chan | Optometrist | 738 Prater Way, Sparks, NV 89431-4466 | 2006-10-20 |
| 1396841144 | Accutech Ventures, Inc. | Optometrist | 4810 Galleria Pkwy, Sparks, NV 89436-9605 | 2006-09-16 |
| 1871515809 | Corinne Cooper | Optometrist | 1965 Baring Blvd, Sparks, NV 89434-6734 | 2006-07-25 |
| 1619912508 | Evan F Pritchett | Optometrist | 5961 Los Altos Pkwy, Suite 101, Sparks, NV 89436-2500 | 2006-06-17 |
| 1154382208 | Lucas Glenn Hum | Optometrist | 2115 Green Vista Dr, Ste 101, Sparks, NV 89431-8516 | 2006-03-29 |
| 1629037296 | Douglas K Devries | Optometrist | 2285 Green Vista Dr, Sparks, NV 89431-8532 | 2006-03-21 |
| 1730168071 | Keith J. Castleton | Optometrist | 5961 S Los Altos Pkwy Ste 101, Ste 101, Sparks, NV 89436-2501 | 2006-01-13 |
| Find all providers in SPARKS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.