PETERSON EYECARE PC (NPI# 1639387988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639387988 |
| Entity Type | Organization |
| Organization Name | PETERSON EYECARE PC |
| Practice Address |
2805 Blairs Ferry Rd Ne Suite B Cedar Rapids IA 52411 |
| Practice Telephone | 3198322020 |
| Practice Fax Number | 3198322015 |
| Mailing Telephone | 3198322020 |
| Mailing Fax Number | 3198322015 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2014-02-05 |
| Authorized Official Name | CHAD D PETERSON (PRESIDENT OPTOMETRIST) |
| Authorized Official Telephone | 3198322020 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
02103 | IA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0235770 | 05 |
| Street Address |
2805 BLAIRS FERRY RD NE SUITE B |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255739181 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2805 Blairs Ferry Rd Ne, Suite B, Cedar Rapids, IA 52402-1805 | 2014-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739582 | Countryhouse Cedar Rapids LLC | Assisted Living Facility | 5710 Gibson Drive Ne, Cedar Rapids, IA 52411 | 2020-10-27 |
| 1487741732 | Martin Randall Berst | Dentist | 4900 N River Blvd Ne, Cedar Rapids, IA 52411 | 2006-10-06 |
| 1225108335 | Berst Dental PC | Dentist | 4900 N River Blvd Ne, Cedar Rapids, ID 52411 | 2006-11-08 |
| 1710074315 | Jennifer Ellen Berst | Dentist | 4900 N River Blvd Ne, Cedar Rapids, IA 52411 | 2006-10-06 |
| 1588919286 | Samantha Lou Kennedy | Chiropractor | 5300 Edgewood Rd Ne Ste 200, Cedar Rapids, IA 52411-4706 | 2012-07-18 |
| 1386160349 | Vim Chiropractic and Wellness Plc | Chiropractor | 5300 Edgewood Rd Ne Ste 200, Cedar Rapids, IA 52411-4706 | 2017-08-21 |
| 1770719221 | Hinschberger Chiropractic LLC | Chiropractor | 5300 Edgewood Rd Ne, Ste 200, Cedar Rapids, IA 52411-4707 | 2009-06-10 |
| 1972147106 | Sandra Brune | Hearing Instrument Specialist | 5300 Edgewood Rd Ne Ste 150, Cedar Rapids, IA 52411-4747 | 2019-10-31 |
| 1154705085 | The Teggatz Clinic PC | Clinic/Center | 5100 Fountains Dr Ne, Suite 102, Cedar Rapids, IA 52411-6603 | 2015-07-09 |
| 1326569203 | Patrick A Hayden | Physical Therapist | 5300 Fountains Dr Ne Ste 106, Cedar Rapids, IA 52411-6607 | 2017-06-30 |
| Find all providers in zip 52411 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114951746 | Chad D Peterson | Optometrist | Blairs Ferry Rd. Ne, Cedar Rapids, IA 52402 | 2006-07-10 |
| 1437124989 | Vera Marie Howe | Optometrist | 2740 1st Ave Ne, Cedar Rapids, IA 52402-4856 | 2006-02-20 |
| 1548423866 | Dr Fitzgerald & Associates, Inc | Optometrist | 3225 Williams Pkwy Sw, Ste 1, Cedar Rapids, IA 52404-1476 | 2008-07-07 |
| 1881757326 | Optix Eye Design Inc | Optometrist | 2740 1st Ave Ne, Cedar Rapids, IA 52402-4856 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225094881 | Lisa Anne Nix | Optometrist | 126 S Cody Rd, Le Claire, IA 52753-9236 | 2006-04-24 |
| 1437137429 | Richard Loren Nelson | Optometrist | 1500 N Jefferson Way, Indianola, IA 50125-1465 | 2006-01-09 |
| 1033101845 | Mark H Jeppesen | Optometrist | 2020 3rd Ave Nw, Waverly, IA 50677-2065 | 2005-08-17 |
| 1760670665 | Tuttle Eye Care, Inc. | Optometrist | 2801 Grand Ave Ste 1025, Ames, IA 50010-4641 | 2007-10-05 |
| 1235260340 | Richard L. Nelson, O.d. P.l.c. | Optometrist | 1500 N Jefferson Way, Indianola, IA 50125-1465 | 2007-03-08 |
| 1477532174 | Wolfe Clinic Inc | Optometrist | 309 E Church St, Marshalltown, IA 50158-2946 | 2006-01-11 |
| City | CEDAR RAPIDS |
| Zip Code | 52411 |
Please comment or provide details below to improve the information on PETERSON EYECARE PC.
| 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.