MEDICARE: DR. SAMER DUC KHALIL O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	1263	NV

General Provider Information

NPI Number	:	1306771803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAMER DUC KHALIL O.D.

Provider Business Mailing Address
First Line	:	500 W PLUMB LN STE A
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89509-3688
Country	:	US
Telephone Number	:	775-284-3937
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 W PLUMB LN STE A
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89509-3688
Country	:	US
Telephone Number	:	775-284-3937
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2026
Last Update Date	:	06/16/2026

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