Melanie A Riley Peters, OD | |
121 Brian Allgood Hospital, Unit 15244, Apo, AP 96205 | |
(315) 737-1470 | |
Not Available |
Full Name | Melanie A Riley Peters |
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Gender | Female |
Speciality | Optometrist |
Location | 121 Brian Allgood Hospital, Apo, Armed Forces Pacific |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225021637 | NPI | - | NPPES |
046009357 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 046009357 (Illinois) | Secondary |
152W00000X | Optometrist | OPC6404 (Florida) | Secondary |
152W00000X | Optometrist | 60776496 (Washington) | Primary |
Provider Name | University Of The Incarnate Word |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003129784 PECOS PAC ID: 9234310301 Enrollment ID: O20110222001023 |
Mailing Address | Practice Location Address |
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Melanie A Riley Peters, OD Psc 400 Box 7563, Apo, AP 96273-0076 Ph: () - | Melanie A Riley Peters, OD 121 Brian Allgood Hospital, Unit 15244, Apo, AP 96205 Ph: (315) 737-1470 |
Dr. Justin E Sandholm, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 35 Hcos/cc, Psc 76 Unit 5024, Apo, AP 96319 Phone: 071-677-6269 | |
Lewis Bruneel, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 18th Medical Group, Apo, AP 96368 Phone: 544-630-2947 | |
Timothy Soh, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: Brian D. Allgood Army Community Hospital, Dha, Apo, AP 96271 Phone: 315-737-1449 | |
Dr. Nicole Elizabeth Nowling, OD Optometrist Medicare: Medicare Enrolled Practice Location: 51st Medical Group, Unit 2060, Apo, AP 96278 Phone: 315-784-2151 | |
Nicholas Jon Hardgrave, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 36th Medical Group-andersen Afb Clinic/optometry, Unit 14010, Apo, AP 96543 Phone: 671-366-6749 | |
Dr. Min Kyung Kim, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: Unit 15245, Apo, AP 96271 Phone: 315-737-1219 |