Petersen, Richard Nels
Petersen, Richard Nels is an individual health care provider with primary practice located at 1745 W Avenue K Suite A, Lancaster CA 93534-6502. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Petersen, Richard Nels can be contacted via phone (661) 942-8437.Contact Information
Primary practice address
1745 W Avenue K Suite A
Lancaster CA 93534-6502
Phone: (661) 942-8437
Fax: (661) 940-1959
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 13129 | California |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0PT13129T | California |
Profile Details
| NPI number | 1407867161 |
|---|---|
| LBN Legal business name | Petersen, Richard Nels |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Dec 23rd, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407867161 | NPPES |
| California | Other | SD13129T0 | BLUECROSS/BLUE SHIELD |
| California | Other | 14156 | BLUECROSS/BLUE SHIELD |
Popular Providers
-
Mohana, Tarek
1141 W Avenue L , Lancaster CA 93534-7077 -
Goldstone, Adam D.
44665 Valley Central Way , Lancaster CA 93536-6500 -
Press, Christopher David
2068 W Avenue J Community Vision Center Lancaster, Lancaster CA 93536-5913 -
Israel, Steven
1046 W Avenue K , Lancaster CA 93534-5918 -
Holub, Michael Lee
1745 W Avenue K Suite A, Lancaster CA 93534-6502 -
Sultan, Barry
1739 W Avenue J , Lancaster CA 93534-2703 -
Lai, Josephine
1739 W Avenue J , Lancaster CA 93534-2703 -
Martin, Jerry Lee
1745 W Avenue K , Lancaster CA 93534-6502