| Dr David J Mietzner, OD | |
|
6900 Pecos Rd, North Las Vegas, NV 89086-4400 | |
| (702) 791-9125 | |
| Not Available |
| Full Name | Dr David J Mietzner |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 6900 Pecos Rd, North Las Vegas, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972587962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 665 (Nevada) | Primary |
| Provider Name | Conrad Lochner Iii, Odpc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1609992205 PECOS PAC ID: 0941254908 Enrollment ID: O20050311000664 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David J Mietzner, OD 1450 W Horizon Ridge Pkwy, Ste B306, Henderson, NV 89012-4480 Ph: (702) 791-9125 | Dr David J Mietzner, OD 6900 Pecos Rd, North Las Vegas, NV 89086-4400 Ph: (702) 791-9125 |
Joshua Chung, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6900 N Pecos Rd, North Las Vegas, NV 89086 Phone: 702-791-9000 | |
Jennifer Chow, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6935 Aliante Pkwy, Ste. 102, North Las Vegas, NV 89084 Phone: 702-685-4320 Fax: 702-685-4583 | |
Jayson Madriaga, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6900 Pecos Rd, North Las Vegas, NV 89086 Phone: 702-791-9000 | |
Miss Theresa Chong, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6900 Pecos Rd, North Las Vegas, NV 89086 Phone: 702-791-9000 | |
Dr. Russell Lee Jew, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6900 Pecos Rd, North Las Vegas, NV 89086 Phone: 702-791-9125 | |
Dr. Nina To-nhu Tran, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6900 N Pecos Rd, North Las Vegas, NV 89086 Phone: 702-791-9125 | |
Dr. Donald S. Mazzulla, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4116 W Craig Rd, #104, North Las Vegas, NV 89032 Phone: 702-631-2015 Fax: 702-631-2511 |