DR. DARRIN ODELL PETERSON (NPI# 1407102320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407102320 |
| Entity Type | Individual |
| Full Name | DR. DARRIN ODELL PETERSON |
| Credential | O.D. |
| Practice Address |
411 University Ave Lubbock TX 79401-1600 |
| Practice Telephone | 8063687934 |
| Mailing Telephone | 8063687934 |
| Enumeration Date | 2012-07-29 |
| Last Update Date | 2012-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 740 | NV | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 8084T | TX | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912036575 | Darrin Peterson | Counselor | 495 E Main St, Columbus, OH 43215-5349 | 2007-03-02 |
| Street Address |
411 UNIVERSITY AVE |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79401-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740688837 | Cody Painter | Student in an Organized Health Care Education/Training Program | 43021 6th and Boston, Lubbock, TX 79401 | 2014-12-05 |
| 1730412511 | Chiara Eberhardt | Counselor | 1614 Ave K, Lubbock, TX 79401 | 2009-09-11 |
| 1528265535 | City of Lubbock | Clinic/Center | 80618th Street, Lubbock, TX 79401 | 2007-07-02 |
| 1184784084 | Cc Home Health of Lubbock LLC | Technician | 2118 Broadway Ave, Lubbock, TX 79401 | 2006-12-11 |
| 1003997768 | Charles Hudson | Family Medicine | Concord Medical Group, 1602 Avenue Q, Lubbock, TX 79401 | 2006-10-18 |
| 1003904376 | Thi of Texas At Lubbock II, LLC | Skilled Nursing Facility | 1401 9th Street, Lubbock, TX 79401 | 2006-10-11 |
| 1174514681 | United Supermarkets LLC | Pharmacy | 1610 5th St, Lubbock, TX 79401 | 2005-11-03 |
| 1669470332 | Jose A Suarez | Internal Medicine | 1655 Main St Ste 201, Lubbock, TX 79401 | 2005-07-07 |
| 1225696362 | Heather Leigh Robertson | Dietitian, Registered | 1628 19th St, Lubbock, TX 79401 | 2019-06-04 |
| 1912411091 | Josi Gwin | Speech-Language Pathologist | 1628 19th St, Lubbock, TX 79401 | 2017-11-28 |
| Find all providers in zip 79401 | ||||
| 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 |
|---|---|---|---|---|
| 1275182032 | Ensight Vision LLC | Optometrist | 6002 Slide Road, Lubbock, TX 79414 | 2019-09-05 |
| 1023513520 | Fadel Eye Group, LLC | Optometrist | 6002 Slide Rd Ste 68448, Lubbock, TX 79414-4341 | 2018-03-27 |
| 1053799825 | Karley Woodrich | Optometrist | 4015 84th St, Lubbock, TX 79423-1913 | 2015-05-13 |
| 1700294949 | Shabree Nicole Nichols-caleb | Optometrist | 6002 Slide Rd Spc G32, Lubbock, TX 79414-4310 | 2014-07-31 |
| 1336565639 | Best Eye Visioncare, Pllc | Optometrist | 6020 34th Street, Lubbock, TX 79407 | 2014-03-11 |
| 1356782932 | Daniel & Max, LLC | Optometrist | 5031 50th St, Suite 1, Lubbock, TX 79414-3420 | 2013-07-11 |
| 1679911697 | Jamel Deshane Vaughn | Optometrist | 6002 Slide Rd Ste P-8, Lubbock, TX 79414 | 2013-06-12 |
| 1659663284 | Vision One Associates | Optometrist | 6221 Slide Road, Lubbock, TX 79414 | 2011-05-16 |
| 1972801223 | Texas Tech University Health Sciences Center Lubbock | Optometrist | 4004 82nd St Bldg 200, Lubbock, TX 79423-1900 | 2011-03-10 |
| 1427208339 | Jarren Bill Ray | Optometrist | 5602 Slide Rd, Lubbock, TX 79414-4105 | 2008-09-27 |
| Find all providers in LUBBOCK | ||||
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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.