| Sg Optical Llc | |
|
1657 Mountain City Highway, Suite 101, Elko, NV 89801-2459 | |
| (775) 738-6727 | |
| (775) 753-6452 |
| Full Name | Sg Optical Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1657 Mountain City Highway, Elko, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649485483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 524 (Nevada) | Primary |
| Provider Name | Shaune K. Wallace |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467550335 PECOS PAC ID: 6103824636 Enrollment ID: I20170725003431 |
| Provider Name | Lincoln Bangerter |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225878887 PECOS PAC ID: 8022552231 Enrollment ID: I20240628001721 |
| Mailing Address | Practice Location Address |
|---|---|
| Sg Optical Llc 1657 Mountain City Highway, Suite 101, Elko, NV 89801-2459 Ph: (775) 738-6727 | Sg Optical Llc 1657 Mountain City Highway, Suite 101, Elko, NV 89801-2459 Ph: (775) 738-6727 |
Dr. Thomas David Gall, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2209 N 5th St, Elko, NV 89801 Phone: 775-738-8491 Fax: 775-738-3313 | |
Vision Consultants Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2850 Ruby Vista Dr, Elko, NV 89801 Phone: 775-375-8869 | |
Dr. Micah Williams, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2209 N 5th St, Elko, NV 89801 Phone: 775-738-8491 Fax: 775-738-3313 | |
Lincoln Bangerter, Optometrist Medicare: Medicare Enrolled Practice Location: 1657 Mountain City Hwy Ste 101, Elko, NV 89801 Phone: 775-738-6727 | |
Dr. Spencer James Mcconkie, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2209 N 5th St, Elko, NV 89801 Phone: 775-738-8491 Fax: 775-738-3313 | |
Dr. Shaune Wallace, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1657 Mountain City Hwy Ste 101, Elko, NV 89801 Phone: 775-738-6727 | |
Dr. Kurt G Alleman, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 2209 N 5th St, Elko, NV 89801 Phone: 775-738-8491 Fax: 775-738-3313 |