Spencer Allen Robertson, OD | |
65 N Taylor St, Fallon, NV 89406-2750 | |
(775) 423-8024 | |
Not Available |
Full Name | Spencer Allen Robertson |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 65 N Taylor St, Fallon, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003675489 | NPI | - | NPPES |
250031640 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1195 (Nevada) | Primary |
Provider Name | Robertson & Koenig Ltd |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1699745059 PECOS PAC ID: 5193616480 Enrollment ID: O20040324000939 |
Mailing Address | Practice Location Address |
---|---|
Spencer Allen Robertson, OD 4989 Rivers Edge Dr, Fallon, NV 89406-1202 Ph: (775) 427-6774 | Spencer Allen Robertson, OD 65 N Taylor St, Fallon, NV 89406-2750 Ph: (775) 423-8024 |
Dr. Michelle Marie Miller, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 448 S Maine St, Fallon, NV 89406 Phone: 775-423-7411 Fax: 775-423-4785 | |
Russell Guisti, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2333 Reno Hwy, Fallon, NV 89406 Phone: 775-428-6664 Fax: 775-428-6664 | |
Dr. Brian Peter Jensen, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 65 N Taylor St, Fallon, NV 89406 Phone: 775-423-8024 Fax: 775-423-8593 | |
Dr. Daniel Mulder, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2333 Reno Hwy, Fallon, NV 89406 Phone: 775-525-3922 Fax: 775-344-0119 | |
Dr. Stuart E Richardson, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 445 S Maine St, Fallon, NV 89406 Phone: 775-423-4334 Fax: 775-423-1184 |