Organization
RYAN PETERSON O.D., INC.
Active
Parent organization
RYAN PETERSON O.D.,INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
RYAN PETERSON O.D.,INC.
Authorized official
RYAN PETERSON OD (OWNER)
(702) 299-6200
Entity
Organization
Contact information
Practice address
6370 W FLAMINGO RD STE 8, LAS VEGAS, NV 89103-2275
(702) 331-0777
(877) 832-5115
Mailing address
4401 E SUNSET RD STE 4, HENDERSON, NV 89014-2200
(702) 299-6200
(702) 331-4533
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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