Individual
RAYMOND VINCENT KELLOGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4675 W FLAMINGO RD, LAS VEGAS, NV 89103-3795
(702) 364-1252
(702) 364-9716
Mailing address
4675 W FLAMINGO RD, LAS VEGAS, NV 89103-3795
(702) 949-2020
(702) 948-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0331
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2502825
—
NV
01
—
410041956
RAILROAD MEDICARE
NV
Enumeration date
01/09/2007
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us