DR. ELIZABETH MARIE PETERSON (NPI# 1639369127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639369127 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH MARIE PETERSON |
| Other Name | ELIZABETH MARIE WERNER |
| Credential | O.D. |
| Practice Address |
213 W 3rd Ave Warren PA 16365-2355 |
| Practice Telephone | 8147234470 |
| Practice Fax Number | 8147235413 |
| Mailing Telephone | 8147234470 |
| Mailing Fax Number | 8147235413 |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2017-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OEG003245 | PA | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 1688 | SC | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 4667 | MA | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 002720 | CT | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | CONNECTICARE | 214521-7908 | 01 |
| MA | UNITED HEALTHCARE | 04-2945394 | 01 |
| MA | AETNA | 9845135 | 01 |
| MA | EYEMED | MA4667 | 01 |
| MA | 0718441 | 05 | |
| MA | FALLON | 137525 | 01 |
| MA | HEALTH NEW ENGLAND | 43787 | 01 |
| MA | HARVARD PILGRIM | AA111986 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528536323 | Elizabeth Peterson | Speech-Language Pathologist | 1429 Decatur Dr, Charlottesville, VA 22911-7499 | 2018-11-09 |
| 1538576640 | Elizabeth Peterson | Developmental Therapist | 2904 N 32nd Rd, Seneca, IL 61360-9780 | 2014-07-21 |
| 1386955680 | Elizabeth Kay Peterson | Psychologist | 10375 E Harvard Ave, Suite 425, Denver, CO 80231-5939 | 2010-07-01 |
| 1003060385 | Elizabeth Frances Peterson | Speech-Language Pathologist | 22344 E Kenyon Pl, Aurora, CO 80018-4557 | 2008-11-12 |
| 1922267277 | Elizabeth Winslow Peterson | Occupational Therapist | 13 Tupper Rd, Sandwich, MA 02563-1810 | 2008-06-03 |
| 1619135860 | Elizabeth Joanne Peterson | Family Medicine | 911 Northland Dr., Princeton, MN 55371-1737 | 2008-05-23 |
| 1942339106 | Elizabeth Sorrells Peterson | Pediatrics | 7311 W 132nd St, Suite 190, Overland Park, KS 66213-1118 | 2007-03-05 |
| 1497823215 | Elizabeth Harris Peterson | Counselor | 5845 Caspiana Ln, Bossier City, LA 71112-9601 | 2006-12-01 |
| 1144327560 | Elizabeth Peterson | Social Worker | 2647 Michigan Ave, Kissimmee, FL 34744-1936 | 2006-09-20 |
| 1417958026 | Elizabeth Michael Peterson | Pediatrics | 109 Warren St, Suite 4, Beaver Dam, WI 53916-3082 | 2005-08-04 |
| Street Address |
213 W 3RD AVE |
| City | WARREN |
| State | PA |
| Zip Code | 16365-2355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194749911 | James Steven Spangler | Optometrist | 213 W 3rd Ave, Ste. 106, Warren, PA 16365-2355 | 2006-07-26 |
| 1912230350 | James S Spangler, O.d. | Optometrist | 213 W 3rd Ave, Suite 106, Warren, PA 16365-2355 | 2009-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712759 | James Hickey | Dentist | 94 Egypt Hollow Rd, Warren, PA 16365 | 2020-08-31 |
| 1437674579 | Theresa Elizabeth Cook | Speech-Language Pathologist | Rehabworks At Warren General Hospital, Two Crescent Park West, Warren, PA 16365 | 2017-08-10 |
| 1891160982 | Vanessa Frank Humphrey | Occupational Therapy Assistant | 682 Pleasant Drive, Warren, PA 16365 | 2015-12-01 |
| 1740651967 | John L. Harrington | Psychiatry & Neurology | 4 Second Ave. Apt. #2, Warren, PA 16365 | 2015-10-14 |
| 1992046569 | Carrie Lynn Vaughn | Physical Therapy Assistant | 1048 Pennslvania Ave West, Warren, PA 16365 | 2013-03-07 |
| 1750664488 | William Frederick Menz | Pharmacist | 2901 Market Street, (walmart), Warren, PA 16365 | 2011-09-20 |
| 1669617296 | Donald Nicholas Vandamia | Family Medicine | 64 Leda Lane, Warren, PA 16365 | 2008-12-11 |
| 1013187558 | Chad Michael Ristau | Nurse Anesthetist, Certified Registered | 2 Crescent Park West., Warren General Hospital, Warren, PA 16365 | 2008-03-11 |
| 1407072473 | Family Physical Therapy | Physical Therapist | 218 Liberty St, Warren, PA 16365 | 2007-04-18 |
| 1801927330 | Wal-mart Stores East, L.p. | Technician/Technologist | 2901 Market St., Warren, PA 16365 | 2007-03-08 |
| Find all providers in zip 16365 | ||||
| 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 |
|---|---|---|---|---|
| 1700485513 | Warren General Hospital | Optometrist | 103 W Saint Clair St Rm 1a, Warren, PA 16365-2187 | 2020-10-22 |
| 1679944177 | Tyler Mautino | Optometrist | 60 Hatch Run Rd, Warren, PA 16365-5249 | 2015-10-12 |
| 1104223726 | Optical Solutions 3 LLC | Optometrist | 2658 Niles Cortland Rd Se, Warren, OH 44484-3871 | 2014-11-25 |
| 1144452459 | Diana Marie Douglas | Optometrist | 1955 Celestial Dr Ne, Warren, OH 44484-3982 | 2009-08-20 |
| 1558561324 | Advanced Family Eyecare of Trumbull Co LLC | Optometrist | 8252 High St Ne, Warren, OH 44484-1923 | 2007-07-20 |
| 1144340589 | Thomas M. Grischow, O.d., Inc. | Optometrist | 199 Niles Cortland Rd Se, Warren, OH 44484-2426 | 2007-03-30 |
| 1407975113 | John W Barnhart | Optometrist | 4620 Mahoning Ave Nw, Warren, OH 44483-1419 | 2007-03-27 |
| 1487794533 | Lidia Sistick | Optometrist | 13812 E 14 Mile Rd, Warren, MI 48088-1488 | 2007-02-07 |
| 1699812115 | Paul Mark Peiffer | Optometrist | 3824 E 13 Mile Rd, Warren, MI 48092-1314 | 2007-01-31 |
| 1891840674 | Pearle Vision Inc | Optometrist | 29350 Van Dyke Ave, Warren, MI 48093-6765 | 2007-01-24 |
| Find all providers in WARREN | ||||
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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.