Whalio Doctors

NPI 1730654385

Ryan Peterson OD, INC.

Organisation Optometrist Nellis Afb, NV

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
Eye and Vision Services Providers Taxonomy 152W00000X

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.