Roger L Petersen Od

LBN: Roger L Petersen Od
Roger L Petersen Od is an health care organization with primary practice located at 1817 N Main St , Higginsville MO 64037-1524. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Roger L Petersen Od can be contacted via phone (660) 584-2956, or through Petersen, Roger Leslie via phone (660) 584-2956.

Contact Information

Primary practice address
1817 N Main St Higginsville MO 64037-1524
Phone: (660) 584-2956
Fax: (660) 584-3956
Website:
Map and Directions
Authorized official contact:
Name: Petersen, Roger Leslie Doctor of Optometry (OD)
Phone: (660) 584-2956

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TO2272 Missouri

Profile Details

NPI number 1992829006
LBN Legal business name Roger L Petersen Od
DBA Doing business as
Authorized official Petersen, Roger Leslie Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2007
Last updated Aug 22nd, 2020 - about 5 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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