LAURA FAITH BOLENBAKER (O.D.) – Optometrist, NPI 1871534768

LAURA FAITH BOLENBAKER (O.D.) is a healthcare provider. based in Sparks, Nevada. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 0528 (NV). The NPI Number for LAURA FAITH BOLENBAKER (O.D.) is 1871534768

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
LAURA FAITH BOLENBAKER (O.D.)
NPI
1871534768
Phone
(775) 359-2020
Address
5961 LOS ALTOS PKWY
Enumeration Date
9 June 2006
Last Update Date
8 January 2026

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
7758262477
Graduation Year
2005 (21 years ago)
PAC ID
5597862433
Group Practice PAC ID
1052390655
Professional Enrollment ID
I20070529000552
Address ID
NV895094905RE285XXLNXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

386 OPTOMETRY in NV

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Provider Addresses for LAURA FAITH BOLENBAKER (O.D.)

  • Pritchett Eye Care Associates, 5961, Los Altos Parkway, Sparks, Washoe County, Nevada, 89436, United States

    STE. 101

    SPARKS, NV 894362500

    Phone: (775) 359-2020

    Fax: (775) 359-2676

    Type: Mailing

  • 10459, Double R Boulevard, Reno, Washoe County, Nevada, 89521, United States

    RENO, NV 895218905

    Phone: (775) 827-3030

    Fax: (775) 827-5479

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-05-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070529000552IOptometryNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system2222$0
View full utilization report →

Insurance plans in this area (ZIP 89436)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052390655View full group profile
NameSpecialtyState
O P T O M E T R YNV
O P T O M E T R YOR
-NV
O P T O M E T R YNV
O P T O M E T R YNV
-NV
O P T O M E T R YNV
-NV
O P T O M E T R YNV
O P T O M E T R YNV

Reviews

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Frequently asked questions

Does LAURA FAITH BOLENBAKER (O.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — LAURA FAITH BOLENBAKER (O.D.) uses 1871534768.
Is LAURA FAITH BOLENBAKER (O.D.) still practicing?
LAURA FAITH BOLENBAKER (O.D.) is currently listed as active in the public NPI registry.
What is LAURA FAITH BOLENBAKER (O.D.)'s specialty?
The listing groups LAURA FAITH BOLENBAKER (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
What area does LAURA FAITH BOLENBAKER (O.D.) serve?
LAURA FAITH BOLENBAKER (O.D.)'s listing highlights Sparks, Nevada; more addresses can appear in NPPES.
Why does LAURA FAITH BOLENBAKER (O.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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