| Ryan Peterson O.d., Inc. | |
|
5691 Rickenbacker Rd, Nellis Afb, NV 89191-7052 | |
| (702) 644-6671 | |
| (702) 644-6682 |
| Full Name | Ryan Peterson O.d., Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 5691 Rickenbacker Rd, Nellis Afb, Nevada |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013933704 | NPI | - | NPPES |
| 100508599 | Medicaid | NV | |
| 100506817 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 532 (Nevada) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Peterson O.d., Inc. Po Box 9792, Nellis Afb, NV 89191-0792 Ph: (702) 644-6671 | Ryan Peterson O.d., Inc. 5691 Rickenbacker Rd, Nellis Afb, NV 89191-7052 Ph: (702) 644-6671 |
Trent J. Tate, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-3010 | |
Dr. Vorapas Thunyalukul, OD Optometrist Medicare: Medicare Enrolled Practice Location: 5691 Rickenbacker Rd, Bx Mall Bldg 431, Nellis Afb, NV 89191 Phone: 702-644-6671 Fax: 702-644-6682 | |
Safe Co-management Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5691 Rickenbacker Rd Bldg 431, Nellis Afb, NV 89191 Phone: 702-644-6671 Fax: 702-644-6682 | |
Dr. Conrad Lochner Iii, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5691 Rickenbacker Rd, Bx Mall, Bldg 431, Nellis Afb, NV 89191 Phone: 702-644-6671 Fax: 702-644-6682 | |
Adam B Klemens, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-3010 | |
Elevated Eyecare Llc Optometrist Medicare: Medicare Enrolled Practice Location: 5691 Rickenbacker Rd, Nellis Afb, NV 89191 Phone: 626-716-4935 |