| Richard Nels Petersen, OD | |
|
1745 W Avenue K, Suite A, Lancaster, CA 93534-6502 | |
| (661) 942-8437 | |
| (661) 940-1959 |
| Full Name | Richard Nels Petersen |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 19 Years |
| Location | 1745 W Avenue K, Lancaster, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407867161 | NPI | - | NPPES |
| SD13129T0 | Other | CA | BLUECROSS/BLUE SHIELD |
| 14156 | Other | CA | MESC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 13129 (California) | Secondary |
| 152W00000X | Optometrist | 0PT13129T (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Antelope Valley Optometric Center, Inc. | 2860437068 | 3 |
| Provider Name | Antelope Valley Optometric Center, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1548202864 PECOS PAC ID: 2860437068 Enrollment ID: O20050627001459 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Nels Petersen, OD 1745 W Avenue K, Suite A, Lancaster, CA 93534-6502 Ph: (661) 942-8437 | Richard Nels Petersen, OD 1745 W Avenue K, Suite A, Lancaster, CA 93534-6502 Ph: (661) 942-8437 |
Basil Mubarkeh, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 45104 10th St W, Lancaster, CA 93534 Phone: 661-941-9543 | |
Jeffrey Jay Clark, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 43927 15th St W, Lancaster, CA 93534 Phone: 661-948-6310 | |
Dr. Lloyd George Gillett Iii, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 44439 17th St W, Lancaster, CA 93534 Phone: 661-729-8655 | |
Christina Alice Tang, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1739 W Avenue J, Lancaster, CA 93534 Phone: 661-940-0555 | |
Eyes Of Hope Corp Optometrist Medicare: Not Enrolled in Medicare Practice Location: 44215 15th St W Ste 308, Lancaster, CA 93534 Phone: 818-239-2428 | |
Clearview Eyecare Optometry A Professional Corporation Optometrist Medicare: Medicare Enrolled Practice Location: 42220 10th St W Ste 105, Lancaster, CA 93534 Phone: 661-945-9883 Fax: 661-726-2898 | |
Dr. Josephine Lai, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1739 W Avenue J, Lancaster, CA 93534 Phone: 661-945-4502 Fax: 661-945-4841 |