| 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 | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013933704 | NPI | - | NPPES |
| 100508599 | Medicaid | NV | |
| 100506817 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 532 (Nevada) | Primary |
| Provider Name | Ryan K Peterson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902864614 PECOS PAC ID: 9436152758 Enrollment ID: I20060921000006 |
| Provider Name | Chau Ngoc Vi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225410244 PECOS PAC ID: 6507171832 Enrollment ID: I20150817000803 |
| Provider Name | Sharon Tong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457735953 PECOS PAC ID: 9234409319 Enrollment ID: I20170721002930 |
| Provider Name | Brian Walter Davis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689234601 PECOS PAC ID: 8628306586 Enrollment ID: I20190830000146 |
| Provider Name | Trang Ngo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558741355 PECOS PAC ID: 7618284662 Enrollment ID: I20210706001392 |
| 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 |