NPI 1730654385
Ryan Peterson OD, INC.
Practice location
- Address
- 5691 Rickenbacker Rd, Nellis Afb, NV 89191-7052
- Phone
- (702) 644-6671
- Mailing address
- 936 Baronet Dr, Las Vegas, NV 89138-8016
Authorised official
- Name
- Ryan Kent Peterson
- Title
- President/Optometrist
- Phone
- (702) 299-6200
Registered specialties
Optometrist
Primary
Registry record
- NPI
- 1730654385
- Entity type
- Organization
- NPI issued
- 10 Oct 2018
- Record last updated
- 10 Oct 2018
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.