Peterson Highley, Jennifer Lynne

Peterson Highley, Jennifer Lynne is an sole proprietor health care provider with primary practice located at 844 W Nye Ln Ste 104 , Carson City NV 89703-1571. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Peterson Highley, Jennifer Lynne can be contacted via phone (775) 882-3937.

Contact Information

Primary practice address
844 W Nye Ln Ste 104 Carson City NV 89703-1571
Phone: (775) 882-3937
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 486 Nevada

Profile Details

NPI number 1013915313
LBN Legal business name Peterson Highley, Jennifer Lynne
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2005
Last updated Apr 2nd, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013915313 NPPES
Nevada MEDICAID 100502286

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