GARY PETERSON (NPI# 1407082035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407082035 |
| Entity Type | Individual |
| Full Name | GARY PETERSON |
| Practice Address |
591 Lincoln St Worcester MA 01605-1932 |
| Mailing Address |
591 Lincoln St Worcester MA 01604-1932 |
| Practice Telephone | 5088523636 |
| Mailing Telephone | 5088523636 |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2009-06-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1972 | MA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417299074 | Gary L Peterson | Veterinarian | 1220 S State St, Salt Lake City, UT 84111-4535 | 2013-03-21 |
| 1447557616 | Gary G Peterson | Physical Therapist | 4461 Woodbridge Rd, Niceville, FL 32578-2387 | 2011-02-23 |
| 1114130465 | Gary Glen Peterson | Psychologist | 675 Sun Valley Road, C, Ketchum, ID 83340 | 2007-05-07 |
| 1518006147 | Gary S Peterson | Dentist | 123 S Stone Ave, Tucson, AZ 85701-1914 | 2007-02-06 |
| 1164589610 | Gary Robert Peterson | Counselor | 1538 The Greens Way Ste 101, Jacksonville Beach, FL 32250-1400 | 2007-01-03 |
| 1285799304 | Gary Ray Peterson | Dentist | 3815 Stephens Ave, Missoula, MT 59801-8505 | 2006-12-27 |
| 1629163514 | Gary Lee Peterson | Chiropractor | 7100 Menaul Blvd Ne, Albuquerque, NM 87110-3688 | 2006-10-04 |
| 1417065566 | Gary Peterson | Psychiatry & Neurology | 103 Edwards Ridge Rd, Chapel Hill, NC 27517-9201 | 2006-08-28 |
| 1699724955 | Gary M Peterson | Family Medicine | 4702 Grand Ave, Duluth, MN 55807-2742 | 2006-05-06 |
| 1831541812 | Gary Daniel Peterson | Anesthesiology | 6000 Hospital Dr, Hannibal, MO 63401-6887 | 2016-07-01 |
| Street Address |
591 LINCOLN ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01605-1932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982719944 | Dennis J Arinella | Ophthalmology | 591 Lincoln St, Worcester, MA 01605-1932 | 2006-08-20 |
| 1922577469 | Kristen Kathleen Peterson | Optometrist | 591 Lincoln St, Worcester, MA 01605-1932 | 2018-11-14 |
| 1760899934 | Tracey Jameson | Optometrist | 591 Lincoln St, Worcester, MA 01605-1932 | 2014-07-18 |
| 1922412147 | Bingjie Ling | Ophthalmology | 591 Lincoln St, Worcester, MA 01605 | 2014-06-16 |
| 1356655898 | Kevin Quang | Optometrist | 591 Lincoln St, Worcester, MA 01605-1932 | 2010-07-26 |
| 1780812735 | Lisa N Neavyn | Ophthalmology | 591 Lincoln St, Worcester, MA 01605 | 2009-06-29 |
| 1134356611 | Darren Peckham | Optometrist | 591 Lincoln St, Premier Optical, Worcester, MA 01605-1932 | 2009-06-11 |
| 1740416486 | Robert Frisch | Optometrist | 591 Lincoln St, Premier Optical, Worcester, MA 01605-1932 | 2009-06-09 |
| 1962638627 | James Bujnowski | Optometrist | 591 Lincoln St, Premier Optical, Worcester, MA 01605-1932 | 2009-06-08 |
| 1942436605 | William Dunbar | Optometrist | 591 Lincoln St, Premier Optical, Worcester, MA 01605-1932 | 2009-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083228340 | Francisca A Bediako | Registered Nurse | Commonwealth Care Alliance, 100 North Parkway-suite # 202, Worcester, MA 01605 | 2020-09-03 |
| 1922660646 | Jenna Patricia Mullarkey | Counselor | Ummmc, Hahnemann Family Health Center, 279 Lincoln Street, Worcester, MA 01605 | 2019-07-02 |
| 1295219293 | Valerie Ann Wedge | Social Worker | 382 Plantation Street, Worcester, MA 01605 | 2018-09-17 |
| 1154800290 | Keri Innis-grant | Counselor | 108 Grove Street, Ste Ll11, Worcester, MA 01605 | 2018-08-09 |
| 1184119463 | Madiinah Namutebi | Registered Nurse | 56 Olga Ave, Worcester, MA 01605 | 2018-06-28 |
| 1841789310 | Ashley Murray | Psychologist | 361 Plantation St., Attn: Forensic Services, Worcester, MA 01605 | 2018-05-09 |
| 1184126419 | Nadia Saforo | Nurse Practitioner | 509 Plantation St Apt 221, Worcester, MA 01605 | 2018-03-02 |
| 1548779044 | Arnold Kamau Thuku | Behavioral Analyst | 55 Erie Ave, Worcester, MA 01605 | 2017-09-27 |
| 1417466483 | Sabine Erica Charles-arbouet | Registered Nurse | 25 Oriol Drive, Worcester, MA 01605 | 2017-09-21 |
| 1548787864 | Alyssa Lynn Champagne | Behavioral Analyst | 19 Judson Rd, Worcester, MA 01605 | 2017-08-28 |
| Find all providers in zip 01605 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487212346 | Tony Tran | Optometrist | 39 Oread St, Worcester, MA 01608-2194 | 2019-06-04 |
| 1346793205 | Kathryn Surdovel | Optometrist | 377 Plantation St # 4, Worcester, MA 01605 | 2016-07-27 |
| 1982957031 | Reliant Medical Group | Optometrist | 123 Summer St Ste 155, Worcester, MA 01608-1216 | 2012-10-25 |
| 1073779948 | Linh Thuy Thi Trang | Optometrist | 1 Tobias Boland Way, Worcester, MA 01607-2533 | 2008-07-31 |
| 1134322456 | Lawrence William Baitch | Optometrist | 10 Lincoln Sq Rm 210-i, Worcester, MA 01608-1135 | 2007-06-06 |
| 1639294267 | Mark Francis Scott | Optometrist | 120 Stafford Street, Worcester, MA 01603-1422 | 2007-03-20 |
| 1891841987 | Shabnum K Parti | Optometrist | 160 Fremont St, Unit 406, Worcester, MA 01603-2371 | 2007-01-25 |
| 1972664977 | Vincent Domenic Giovannucci | Optometrist | 348 Shrewsbury St, Worcester, MA 01604-4616 | 2006-12-13 |
| 1073674446 | Family Eye Care, Inc. | Optometrist | 335 Park Ave, Worcester, MA 01610-1000 | 2006-12-12 |
| 1689773434 | Firas Peter Kassira | Optometrist | 1099 Pleasant St Ste B, Worcester, MA 01602 | 2006-09-21 |
| Find all providers in WORCESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.