DR. SCOTT DAVID PETERSON (NPI# 1750351441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750351441 |
| Entity Type | Individual |
| Full Name | DR. SCOTT DAVID PETERSON |
| Credential | O.D. |
| Practice Address |
3988 Washington Blvd Ogden UT 84403-1826 |
| Practice Telephone | 8016212883 |
| Practice Fax Number | 8013347930 |
| Mailing Telephone | 8016212883 |
| Mailing Fax Number | 8013347930 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2008-06-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 111436-9934 | UT | Eye and Vision Services Providers |
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
111436-9934 | UT | Eye and Vision Services Providers |
| N | 152WP0200X |
Optometrist Specialization: Pediatrics |
111436-9934 | UT | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801436787 | Scott Kermit Peterson | Registered Nurse | 30681 Olson St Apt 2, Pequot Lakes, MN 56472-3081 | 2020-01-08 |
| 1619413093 | Scott T Peterson | Dentist | 5235 W Baseline Rd, #187, Laveen, AZ 85339-3122 | 2017-01-10 |
| 1427202266 | Scott Andrew Peterson | Social Worker | 2000 Dry Valley Road, Loa, UT 84747 | 2008-11-06 |
| 1336398783 | Scott Allen Peterson | Occupational Therapist | 8765 Blue Pine Way, Reno, NV 89523-3843 | 2008-09-10 |
| 1013034842 | Scott L. Peterson | Counselor | 11011 S 48th St Ste 200, Phoenix, AZ 85044-1788 | 2007-03-25 |
| 1033126974 | Scott Michael Peterson | Specialist/Technologist | Lemoyne College Sports Medicine, 1419 Salt Springs Road, Syracuse, NY 13214-1399 | 2006-08-02 |
| 1649250242 | Scott M Peterson | Obstetrics & Gynecology | 3300 W Centre Ave, Bronson Ob Gyn Associates, Portage, MI 49024-4666 | 2006-01-19 |
| 1457917627 | Scott Jeffrey Peterson | Social Worker | 3300 36th St Se, Grand Rapids, MI 49512-2810 | 2019-05-14 |
| 1598121808 | Scott Peterson | Ophthalmology | 3777 Coon Rapids Blvd Nw Ste 100, Coon Rapids, MN 55433-2630 | 2016-01-04 |
| 1720492655 | Scott Peterson | Marriage & Family Therapist | 1880 River Rd, Grand Rapids, MN 55744-4085 | 2014-06-18 |
| Street Address |
3988 WASHINGTON BLVD |
| City | OGDEN |
| State | UT |
| Zip Code | 84403-1826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407060072 | Scott D Peterson, O.d., P.C. | Optometrist | 3988 Washington Blvd, Ogden, UT 84403-1826 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744632 | Megan Louise Larkins | Specialist/Technologist | 4000 Brinker Ave. The Apartments., Apartment 15, Ogden, UT 84403 | 2020-09-11 |
| 1154959062 | Joshua Clifford Hansen | Student in an Organized Health Care Education/Training Program | 4403 Harrison Boulevard, Ste A700, Ogden, UT 84403 | 2020-03-28 |
| 1346895935 | Positional Release Therapy Institute LLC | Specialist/Technologist | 1702 E. 5600 S., Ogden, UT 84403 | 2019-08-09 |
| 1841842077 | Braken Wooden | Chiropractor | 1893 Skyline Dr., Suite 204, South Ogden, UT 84403 | 2019-07-09 |
| 1023670569 | Wasatch Advanced Dental Care LLC | Dentist | 3590 Harrison Blvd Suite #1, Ogden, UT 84403 | 2019-07-05 |
| 1194237636 | Marci Niemeyer | Physician Assistant | 5929 Fashion Point Dr Ste 101, South Ogden, UT 84403 | 2017-10-24 |
| 1578081949 | Stephanie Jensen | Specialist/Technologist | 1473 36th Street, Ogden, UT 84403 | 2017-09-06 |
| 1891213385 | Forrest Sutherland | Specialist/Technologist | 1075 E 41st St., Ogden, UT 84403 | 2017-09-05 |
| 1184159022 | Nicole Lee Van Tassell | In Home Supportive Care | 1496 East 5600 South, Unit 6, Ogden, UT 84403 | 2017-04-28 |
| 1265889166 | Modern Dental Professionals Ut, PC | Dentist | 5974 S. Fashion Pointe Drive, Suite 210, South Ogden, UT 84403 | 2016-05-20 |
| Find all providers in zip 84403 | ||||
| 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 |
|---|---|---|---|---|
| 1841820792 | Clifford Parker | Optometrist | 4283 Harrison Blvd, Ogden, UT 84403-3101 | 2020-01-20 |
| 1568955623 | Taylor Woodward Linton | Optometrist | 4403 Harrison Blvd Ste 3600, Ogden, UT 84403-3285 | 2018-06-12 |
| 1356420590 | Greg Michael Wenom | Optometrist | 5735 Harrison Blvd, Ogden, UT 84403-4324 | 2006-11-06 |
| 1538260021 | Standard Optical Co | Optometrist | 4305 Harrison Blvd, #9b, Ogden, UT 84403-3306 | 2006-09-26 |
| 1659384204 | Dr. Dale A. Woodfield and Associates, LLC | Optometrist | 3651 Wall Ave, 1226, Ogden, UT 84405-7110 | 2006-08-14 |
| 1336175298 | Lincoln Dygert | Optometrist | 3475 Harrison Blvd, Ogden, UT 84403-1230 | 2006-06-23 |
| 1275569444 | Rich H Humpherys | Optometrist | 1055 N Washington Blvd, Ogden, UT 84404-3605 | 2006-06-23 |
| 1639155617 | Greg M. Pickett | Optometrist | 1196 30th St, Ogden, UT 84403-0353 | 2005-12-21 |
| 1659355212 | Frank Louis Salimeno | Optometrist | 5089 S Adams Ave, Ste C, Ogden, UT 84403-4126 | 2005-12-06 |
| 1780679613 | Court Russell Wilkins | Optometrist | 4360 Washighton Blvd, Ogden, UT 84403 | 2005-09-16 |
| Find all providers in OGDEN | ||||
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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.