| Dr Ric Donald Peterson, OD | |
|
3900 W Wheatland Rd, Dallas, TX 75237-3468 | |
| (972) 780-7199 | |
| Not Available |
| Full Name | Dr Ric Donald Peterson |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 3900 W Wheatland Rd, Dallas, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720297740 | NPI | - | NPPES |
| 197166501 | Other | TX | MEDICAID - GROUP TPI# |
| 005FB | Other | TX | BCBSTX - GROUP# |
| 329106401 | Medicaid | TX | |
| 00Y945 | Other | TX | NSC -MEDICARE GROUP PTAN# |
| 8DW848 | Other | TX | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4304 (Texas) | Primary |
| Provider Name | Boyd Eye Care Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1831667906 PECOS PAC ID: 3173962727 Enrollment ID: O20240416003143 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ric Donald Peterson, OD 3900 W Wheatland Rd, Dallas, TX 75237-3468 Ph: (972) 780-7199 | Dr Ric Donald Peterson, OD 3900 W Wheatland Rd, Dallas, TX 75237-3468 Ph: (972) 780-7199 |
Elevate Eye Care, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 200 Short Blvd, Dallas, TX 75232 Phone: 504-319-9017 | |
Lynette Hyland Braun, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 462 Northpark Center, Dallas, TX 75225 Phone: 214-368-0059 | |
Dr. Rachel Varghese, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8687 N Central Expy Ste 2200, Dallas, TX 75225 Phone: 000-000-0000 | |
Thomas Allen Sakler, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7111marvan D Love Frwy, Ste 101, Dallas, TX 75201 Phone: 972-298-5379 Fax: 972-283-5863 | |
Envision 20-20 Association Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1521 Cockrell Hill Rd, Dallas, TX 75211 Phone: 214-337-0530 | |
Dr. John Francis Haarde Ii, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5494 Glen Lakes Dr, Dallas, TX 75231 Phone: 214-692-6220 Fax: 214-696-1579 | |
Shelby Alyse Anderson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5560 W Lovers Ln Ste 240, Dallas, TX 75209 Phone: 469-775-9700 Fax: 806-791-4077 |