DR. WILLIAM LOFTIN PETERSEN (NPI# 1477690105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477690105 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM LOFTIN PETERSEN |
| Credential | O.D. |
| Practice Address |
34179 Golden Lantern St Suite 201 Dana Point CA 92629-2800 |
| Mailing Address |
24692 Del Prado Ste A Dana Point CA 92629-3841 |
| Practice Telephone | 9496611181 |
| Practice Fax Number | 9496618892 |
| Mailing Telephone | 9496611181 |
| Mailing Fax Number | 9496618892 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2017-06-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 7031 T | CA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124207808 | William Frank Petersen | Pharmacist | 8 Magenta Ln, East Northport, NY 11731-5116 | 2007-10-30 |
| 1225050891 | William M Petersen | Family Medicine | 614 Michigan Ave, Walker, MN 56484-1390 | 2006-07-24 |
| 1003250887 | William Patrick Petersen Jr. | Orthopaedic Surgery | 1635 N George Mason Dr Ste 310, Arlington, VA 22205-3616 | 2013-04-23 |
| 1336276948 | William Marc Petersen | Dentist | 2532 W Francis Ave, Spokane, WA 99205-7012 | 2007-02-28 |
| 1801933197 | William Carl Petersen Jr. | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2007-01-30 |
| 1124109400 | William C Petersen | Psychologist | 5351 Delmar Blvd, Saint Louis, MO 63112-3146 | 2006-10-17 |
| 1902912504 | William L Petersen | Ophthalmology | 48 Main St, Massena, NY 13662-1984 | 2006-08-23 |
| 1881709079 | William A Petersen | Pediatrics | 10 Century Hill Dr, Latham, NY 12110-2162 | 2006-08-20 |
| 1285674317 | William C Petersen | Anesthesiology | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2006-06-07 |
| 1770544579 | William G. Petersen | Internal Medicine | 2401 S 31st St, Temple, TX 76508-0001 | 2006-03-31 |
| Street Address |
34179 GOLDEN LANTERN ST SUITE 201 |
| City | DANA POINT |
| State | CA |
| Zip Code | 92629-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003443144 | Torrey Dawn Commisso | Counselor | 34092 Violet Lantern, Suite 100, Dana Point, CA 92629 | 2020-03-26 |
| 1104466473 | Kirsten Noelle Yackley | Marriage & Family Therapist | 34202 Del Obispo, Dana Point, CA 92629 | 2020-01-14 |
| 1154971653 | Alicia Jolieta Ciriani | Technician | 25082 Perch Dr., Dans Point, CA 92629 | 2019-09-17 |
| 1821640137 | L Snyder Incorporated | Family Medicine | 34052 La Plaza #101, Dana Point, CA 92629 | 2019-07-16 |
| 1023572609 | Michelle Shickler | Behavioral Analyst | 32565 Golden Lantern Suite B #180, Dana Point, CA 92629 | 2019-01-28 |
| 1649734427 | Gustavo Asencia | Behavioral Analyst | 32565 Golden Lantern Ste B180, Dana Point, CA 92629 | 2019-01-25 |
| 1275069684 | Mission Rehab, LLC. | Substance Abuse Rehabilitation Facility | 32656 Golden Lantern, Suite B #473, Dana Point, CA 92629 | 2017-05-04 |
| 1922548452 | Dana Point Rehab Campus | Substance Abuse Rehabilitation Facility | 33842 Orilla Rd, Dana Point, CA 92629 | 2017-03-02 |
| 1316340060 | Steven Edward Dunbar | Chiropractor | 32585 Golden Lantern St. Suite H, Dana Point, CA 92629 | 2014-10-08 |
| 1427476183 | Lorraine Ann Sherrie | Occupational Therapy Assistant | 24242 La Cresta, Ot Department, Dana Point, CA 92629 | 2014-03-31 |
| Find all providers in zip 92629 | ||||
| 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 |
|---|---|---|---|---|
| 1710538343 | Monarch Bay Optometry, Inc. | Optometrist | 32932 Pacific Coast Hwy Ste 13, Dana Point, CA 92629-3467 | 2019-09-25 |
| 1902261704 | Ocean Ranch Optometry | Optometrist | 32545 Golden Lantern St., Suite C, Dana Point, CA 92629-3252 | 2015-12-21 |
| 1811089485 | Diana Khaw Thein | Optometrist | 24692 Del Prado, Suite B, Dana Point, CA 92629-3841 | 2006-09-29 |
| 1649234154 | Irene M Lin-dilorinzo | Optometrist | 32932 Pacific Coast Hwy, Ste 13, Dana Point, CA 92629-3467 | 2006-04-12 |
| 1508835919 | John C. Spaeth Jr. | Optometrist | 32585 Golden Lantern Street # H, Dana Point, CA 92629 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183428 | Ashley Park | Optometrist | 386 S Green Valley Rd Ste 2, Watsonville, CA 95076-3007 | 2020-10-30 |
| 1053911842 | Michael Guerret | Optometrist | 4130 N Viking Way # 110, Long Beach, CA 90808-1402 | 2020-10-29 |
| 1912506155 | Minati Desai Acharya, O.d., Optometric Corporation | Optometrist | 117 Pelton Center Way, San Leandro, CA 94577-4815 | 2020-10-20 |
| 1740888627 | Jennifer Ngo | Optometrist | 3217 W 153rd St, Gardena, CA 90249-4011 | 2020-10-13 |
| 1649878521 | Jennie Lin | Optometrist | 12914 Cranleigh St, Cerritos, CA 90703-7245 | 2020-10-13 |
| 1962009464 | Jyoti Patel | Optometrist | 1701 Gaffey St., San Pedro, CA 90731 | 2020-10-07 |
| 1114524196 | Kenneth E. Sweeney, O.d., Inc. | Optometrist | 825 Pollard Rd Ste 208, Los Gatos, CA 95032-1435 | 2020-10-03 |
| 1316544364 | Chelsey Kimiko Honma | Optometrist | 3151 Airway Ave Ste M3, Costa Mesa, CA 92626-4626 | 2020-10-02 |
| 1437766920 | Mary Mekhael | Optometrist | 5901 Center Dr Apt 456, Los Angeles, CA 90045-8969 | 2020-09-28 |
| 1013524677 | Jennifer Dang, O.d., A Professional Corporation | Optometrist | 301 S Western Ave Ste 103, Los Angeles, CA 90020-3816 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
| City | DANA POINT |
| Zip Code | 92629 |
Please comment or provide details below to improve the information on DR. WILLIAM LOFTIN PETERSEN.
| 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.