DR. WYATT PETERSON (NPI# 1902035934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902035934 |
| Entity Type | Individual |
| Full Name | DR. WYATT PETERSON |
| Credential | O.D. |
| Practice Address |
10255 Summer Pl Eden Prairie MN 55347-4719 |
| Practice Telephone | 6127707632 |
| Mailing Telephone | 6127707632 |
| Enumeration Date | 2009-07-12 |
| Last Update Date | 2020-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3180 | MN | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1731 17th Ave E, Shakopee, MN 553793372 | 9524455600 | |
| 7872 Market Blvd, Chanhassen, MN 553179440 | 9529341424 | |
| 9721 Lyndale Ave S, Bloomington, MN 554204232 | 9528848338 |
| Street Address |
10255 SUMMER PL |
| City | EDEN PRAIRIE |
| State | MN |
| Zip Code | 55347-4719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861013765 | Wellspring Women's Counseling Pllc | Counselor | 8688 Shiloh Court, Eden Prairie, MN 55347 | 2020-05-01 |
| 1588156525 | Orthodontic Specialists of Minnesota, P.l.l.c. | Dentist | 18315 Cascade Dr Ste 110, Eden Prairie, MN 55347 | 2018-06-05 |
| 1013436591 | Peter Joseph Dorsen | Counselor | 14377 Chestnut Drive, Eden Prairie, MN 55347 | 2017-09-15 |
| 1144508490 | Jenny Marie Heidt | Chiropractor | 8941 Aztec Drive, Eden Prairie, MN 55347 | 2011-08-03 |
| 1023337946 | Holly Christine Hanson | Dermatology | 18315 Cascade Dr., Suite 150, Eden Prairie, MN 55347 | 2010-05-18 |
| 1083635635 | Michael H Hoxie | Dentist | 7825 Terrey Pine Court, Suite 101, Eden Prairie, MN 55347 | 2006-07-21 |
| 1396290334 | Eve R. Boaheng | Audiologist-Hearing Aid Fitter | 18315 Cascade Dr, 100, Eden Prairie, MN 55347 | 2016-08-19 |
| 1316380934 | Sima Kavand | Internal Medicine | 1925 Woodwinds Dr, Woodbury, MN 55347 | 2013-04-12 |
| 1073534632 | Bruce W Hultgren | Dentist | 7825 Terrey Pine Court, Suite 101, Eden Prairie, MN 55347 | 2006-07-21 |
| 1407258239 | Audrey Butler | Speech-Language Pathologist | 18117 Settlers Way, Eden Prairie, MN 55347-1029 | 2014-09-24 |
| Find all providers in zip 55347 | ||||
| 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 |
|---|---|---|---|---|
| 1821586801 | Afira Hasan, O.d., Pllc | Optometrist | 7731 Flying Cloud Dr, Eden Prairie, MN 55344-3708 | 2018-04-25 |
| 1508096314 | Pei Ling Chov Jamison | Optometrist | 7912 Mitchell Rd, Eden Prairie, MN 55344-2218 | 2009-07-15 |
| 1235350745 | Nadia Siddiqi Khan | Optometrist | 8251 Flying Cloud Drive, Suite 2176, Eden Prairie, MN 55344 | 2007-05-01 |
| 1295887958 | D & S Vision Care Inc | Optometrist | 8251 Flying Cloud Dr, 1296, Eden Prairie, MN 55344-5350 | 2007-01-16 |
| 1104975762 | Chad R. Dockter | Optometrist | Target Optical, 8225 Flying Cloud Drive, Eden Prairie, MN 55344 | 2007-01-10 |
| 1073534913 | Afira Hasan | Optometrist | 9896 Pincherry Ln, Eden Prairie, MN 55347-1127 | 2006-07-23 |
| 1205823648 | Charles Lannom | Optometrist | 16550 W 78th St, Suite A, Eden Prairie, MN 55346-4315 | 2005-09-30 |
| 1780671321 | Family Eye Clinic and Contact Lens Center | Optometrist | 16550 W 78th St Ste A, Eden Prairie, MN 55346-4316 | 2005-09-29 |
| 1194377671 | Wallerich Eye Care LLC | Optometrist | 8225 Flying Cloud Dr, Eden Prairie, MN 55344-5315 | 2019-07-15 |
| 1841776770 | Rachel Nicole Strang | Optometrist | 16550 W 78th St Ste A, Eden Prairie, MN 55346-4316 | 2018-07-13 |
| Find all providers in EDEN PRAIRIE | ||||
| City | EDEN PRAIRIE |
| Zip Code | 55347 |
Please comment or provide details below to improve the information on DR. WYATT PETERSON.
| 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.