Peterson Eyecare Pc

LBN: Peterson Eyecare Pc
Peterson Eyecare Pc is an health care organization with primary practice located at 2805 Blairs Ferry Rd Ne Suite B, Cedar Rapids IA 52411. The organization recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as the primary health care specialty. Peterson Eyecare Pc can be contacted via phone (319) 832-2020, or through Peterson, Chad D via phone (319) 832-2020.

Contact Information

Primary practice address
2805 Blairs Ferry Rd Ne Suite B Cedar Rapids IA 52411
Phone: (319) 832-2020
Fax: (319) 832-2015
Website:
Map and Directions
Authorized official contact:
Name: Peterson, Chad D Doctor of Optometry (OD)
Phone: (319) 832-2020

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 02103 Iowa

Profile Details

NPI number 1639387988
LBN Legal business name Peterson Eyecare Pc
DBA Doing business as
Authorized official Peterson, Chad D Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2007
Last updated Feb 5th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639387988 NPPES
Iowa MEDICAID 0235770

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