| Optic Gallery | |
|
4860 Blue Diamond Rd Ste 120, Las Vegas, NV 89139-7676 | |
| (702) 710-3937 | |
| Not Available |
| Full Name | Optic Gallery |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 4860 Blue Diamond Rd Ste 120, Las Vegas, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972019867 | NPI | - | NPPES |
| 1740689975 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 820 (Nevada) | Primary |
| Provider Name | Elizabeth M Peguese |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740689975 PECOS PAC ID: 2961623962 Enrollment ID: I20161024001626 |
| Mailing Address | Practice Location Address |
|---|---|
| Optic Gallery 4860 Blue Diamond Rd Ste 120, Las Vegas, NV 89139-7676 Ph: (702) 710-3937 | Optic Gallery 4860 Blue Diamond Rd Ste 120, Las Vegas, NV 89139-7676 Ph: (702) 710-3937 |
Tamara Gutierrez, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 3870 E Flamingo Rd Ste A3, Las Vegas, NV 89121 Phone: 702-434-9919 Fax: 702-270-0926 | |
Dr. Joseph Peter Wadoski, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3350 E Tropicana Ave, Las Vegas, NV 89121 Phone: 702-839-0200 Fax: 702-804-0201 | |
Dr. Keri Asraf, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8230 W Sahara Ave Ste 121, Las Vegas, NV 89117 Phone: 702-944-2001 | |
Dr. Edward Joseph Malik, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 11035 Lavender Hill Dr Ste 180, Las Vegas, NV 89135 Phone: 702-254-0332 Fax: 702-685-4112 | |
Daniel Truong, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 6230 N Durango Dr, Las Vegas, NV 89149 Phone: 702-737-3937 Fax: 702-737-8860 | |
Dr. Elizabeth Dong-hee Suh, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5060 S Fort Apache Rd Ste 150, Las Vegas, NV 89148 Phone: 702-586-5222 Fax: 702-586-5224 | |
Ellen Sy, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6408 Wild Blue Ct, Las Vegas, NV 89135 Phone: 510-219-3691 |