Ryan Kent Peterson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

532 Issued in NV

Practice address

4401 E Sunset Rd
Suite 4
Henderson, NV 89014-0274

Phone

(702) 299-6200

NPI assigned

May 2, 2006

Last updated

Jan 31, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern California College of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shepherd Eye Center LTDGroup PAC ID 9234125907, 42 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.99 of 100Reported as group

Quality

82.33

Improvement activities

40

Cost

79.02

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rpeterson1@cepnv-sec.emadirect.md
• Direct secure messaging: ryan.peterson.shepherdeye@direct.eye-care.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shepherd Eye Center, LTD

  dba Nevada Eye Physicians

  • Ophthalmology Physician
  • Las Vegas, NV
  • NPI 1487604054

  Optometrist

  Medicare reassignment Care Compare group NPD
• Ryan Peterson O.D., Inc.

  • Optometrist
  • Las Vegas, NV
  • NPI 1194247015
  NPD (past) Authorized official
• Ryan Peterson O.D., Inc.

  dba Family Focused Eyecare

  • Optometrist
  • Las Vegas, NV
  • NPI 1962420455
  NPD (past) Authorized official
• Ryan Peterson OD, Inc.

  • Optometrist
  • Nellis AFB, NV
  • NPI 1730654385
  Authorized official Same address or phone
• Shepherd Eye Center, LTD

  dba Nevada Eye Physicians

  • Ophthalmology Physician
  • Henderson, NV
  • NPI 1568032522

  Optometrist

  NPD
• Centennial Hills Hospital Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1487771812
  NPD (past)
• Desert Springs Hospital

  dba Desert Springs Hospital Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1154317964
  NPD (past)
• Dignity Health

  dba St. Rose Dominican Hospital, Rose de Lima Campus

  • General Acute Care Hospital
  • Henderson, NV
  • NPI 1447393152
  NPD (past)
• Sunrise Mountainview Hospital, Inc.

  dba Mountainview Hospital

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1831143817
  NPD (past)
• University Medical Center of Southern Nevada

  dba University Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1548393127
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201737600000",
    "number": "1902864614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 E SUNSET RD",
            "address_2": "SUITE 4",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890140274",
            "telephone_number": "702-299-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 E SUNSET RD",
            "address_2": "SUITE 4",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890140274",
            "telephone_number": "702-299-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "RYAN",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2008-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100506817",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peterson Dental Group, PC (Gentle Dental Green Valley)
• Emily K Peterson, DO
• Jenna Beverly Peterson
• Marcy Peterson
• Mark Clayton Peterson, D.D.S.
• Sarah E Peterson, ATC
• Sarah Marie Peterson
• Velvet Petkov
• Jon S Petrick, DC
• Leandra La Rue Petterson, MS, CADC-I, DVTPP

• Optometrist in Henderson, NV
• Providers in Henderson, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.