VISIONARY EYE CENTER
NPI 1457428989
Optometrist in Reno, NV

Active since November 29, 2006CLIA 29D2321266 · Waiver
8175 S VIRGINIA ST # B900, RENO, NV 89511(775) 827-1100(775) 827-1138 Get Directions Write a Review

NPPES record last updated: June 9, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Visionary Eye Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VISIONARY EYE CENTER (NPI 1457428989) is a healthcare organization registered as an optometrist in Reno, Nevada and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through March 31, 2027 and lists Jason Allan Bolenbaker, President, as its authorized official.

NPPES Registry Identity

NPI1457428989
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameJASON BOLENBAKER, O.D., PC
Location Address8175 S VIRGINIA ST # B900Reno, NV 89511-8922
Mailing Address8175 S Virginia St # B900Reno, NV 89511-8922 · (775) 827-1100 · Fax (775) 827-1138
Fax(775) 827-1138
Organization SubpartNo
Authorized OfficialJason Allan BolenbakerPresident · (775) 827-1100
Enumeration DateNovember 29, 2006
Last NPPES UpdateJune 9, 2009
NPI 1457428989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in NV · 479
Definition
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.
8175 S VIRGINIA ST # B900, Reno, NV 89511

Other Names 1

Doing Business AsVisionary Eye Center

Other Identifiers 1

Medicare PINV100915NV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 29D2321266

Visionary Eye Center · Reno, NV
Active · expires Mar 31, 2027
CLIA Number29D2321266
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2025
Certificate Expiration DateMarch 31, 2027
Laboratory DirectorJason A. Bolenbaker
Laboratory Phone(775) 827-1100
Laboratory LocationVisionary Eye Center8175 S Virginia St Ste B900, Reno, NV 89511
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
8175 S VIRGINIA ST # B900
RENO, NV 89511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason Bolenbaker, O.D., PC's NPI number?

The NPI number for Jason Bolenbaker, O.D., PC is 1457428989. It was assigned to this organization in the NPPES registry on November 29, 2006. The provider is doing business as Visionary Eye Center.

Where is Jason Bolenbaker, O.D., PC located?

Jason Bolenbaker, O.D., PC is located at 8175 S Virginia St # B900, Reno, NV 89511. The listed phone number is (775) 827-1100.

What is Jason Bolenbaker, O.D., PC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Jason Bolenbaker, O.D., PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2321266) is associated with this NPI, valid through March 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jason Bolenbaker, O.D., PC was last updated on June 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.