Peterson, Leland David
Peterson, Leland David is an individual health care provider with primary practice located at 4032 Blackhawk Rd , Rock Island IL 61201-7064. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Peterson, Leland David can be contacted via phone (309) 786-9734.Contact Information
Primary practice address
4032 Blackhawk Rd
Rock Island IL 61201-7064
Phone: (309) 786-9734
Fax: (309) 786-9790
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046007274 | Illinois |
Profile Details
| NPI number | 1962608836 |
|---|---|
| LBN Legal business name | Peterson, Leland David |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2007 |
| Last updated | Jan 14th, 2014 - about 11 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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