NPI 1013933704

Ryan Peterson O.D., INC.

Organisation Optometrist Nellis Afb, NV

Practice location

Address: 5691 Rickenbacker Rd, Nellis Afb, NV 89191-7052
Phone: (702) 644-6671
Fax: (702) 644-6682
Mailing address: PO Box 9792, Nellis Afb, NV 89191-0792

Authorised official

Name: Ryan Kent Peterson
Title: Owner
Phone: (702) 644-6671

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 532 (NV)

Other Optometrist providers in Nevada →

Registry record

NPI: 1013933704
Entity type: Organization
NPI issued: 14 Jul 2006
Record last updated: 5 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.