WILLIAM L PETERSEN (NPI# 1902912504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902912504 |
| Entity Type | Individual |
| Full Name | WILLIAM L PETERSEN |
| Credential | MD |
| Practice Address |
48 Main St Massena NY 13662-1984 |
| Mailing Address |
12 Elm St Potsdam NY 13676-1989 |
| Practice Telephone | 3157692484 |
| Mailing Telephone | 3152658017 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 138970 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124207808 | William Frank Petersen | Pharmacist | 8 Magenta Ln, East Northport, NY 11731-5116 | 2007-10-30 |
| 1477690105 | William Loftin Petersen | Optometrist | 34179 Golden Lantern St, Suite 201, Dana Point, CA 92629-2800 | 2007-01-31 |
| 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 |
| 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 |
48 MAIN ST |
| City | MASSENA |
| State | NY |
| Zip Code | 13662-1984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992041628 | Richard Calvin Vangorden | Technician/Technologist | 48 Main St, Massena, NY 13662-1984 | 2012-12-28 |
| 1912043761 | Carmen Burley | Technician/Technologist | 48 Main St, Massena, NY 13662-1984 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437796380 | Emily Lashomb | Physical Medicine & Rehabilitation | Mmh Outpatient Center/pt, 271 Andrews St, Suite 269, Massena, NY 13662 | 2019-12-10 |
| 1689059727 | Cassandra Lynn Lashomb | Physician Assistant | St Lawrence University, 23 Romoda Drive, Canton, NY 13662 | 2015-07-29 |
| 1497163885 | Ryan Normal Degon | Specialist/Technologist | Park Avenue East, Work-fit At Alcoa Massena Operations, Massena, NY 13662 | 2014-07-29 |
| 1821419839 | Beverly Elaine Eastwood | Registered Nurse | 25 Owl Avenue, Madison Elementary School, Massena, NY 13662 | 2013-12-17 |
| 1083969117 | David Disalvo | Physical Therapist | Mh Outpatient Ctr/physical Therapy, 271 Andrews St, Suite 269, Massena, NY 13662 | 2012-07-15 |
| 1710205935 | Robin G Taylor | Counselor | 221 Harrowgate Commons, Massena, NY 13662 | 2010-05-12 |
| 1821291295 | Amanda Leigh Allen | Pharmacist | 303 Main St., Massena, NY 13662 | 2007-06-06 |
| 1255450664 | Cheryll A Terrance | Counselor | 27 Brighton St, Massena, NY 13662 | 2007-03-28 |
| 1033238704 | Richard C Summermatter | Obstetrics & Gynecology | North Country Women's Health, 15 Hospital Dr, Massena, NY 13662 | 2007-03-27 |
| 1356480610 | Joan Sharon Delarm | Social Worker | 74 Andrews St, Massena, NY 13662 | 2007-02-05 |
| Find all providers in zip 13662 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578674545 | Gary Torbey Do Pllc | Ophthalmology | 27 Hospital Drive, Massena, NY 13662-1009 | 2006-08-31 |
| 1043552854 | M B Kayani Physician PC | Ophthalmology | 25 Hospital Dr, Massena, NY 13662-1009 | 2013-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607995 | Reginald Camillo Md Pllc | Ophthalmology | 7708 Broadway, Elmhurst, NY 11373-1927 | 2020-07-24 |
| 1366069510 | Rebecca Stein | Ophthalmology | 711 Stewart Ave Ste 160, Garden City, NY 11530-4700 | 2020-07-02 |
| 1548886260 | Bartow Ophthalmology Pllc | Ophthalmology | 2100 Bartow Ave Ste 208, Bronx, NY 10475-4614 | 2020-06-18 |
| 1407485139 | Amy L Kreisberg | Ophthalmology | 25 Byron Ln, Larchmont, NY 10538-1617 | 2020-04-04 |
| 1922634518 | Vision Vibrant Medicine Pllc | Ophthalmology | 837 59th St, Brooklyn, NY 11220-3611 | 2020-03-16 |
| 1710546270 | Ian Chan Md PC | Ophthalmology | 6410 8th Ave # 2a, Brooklyn, NY 11220-4720 | 2019-06-09 |
| 1598320038 | Mid-hudson Family Ophthalmology, Pllc | Ophthalmology | 75 Crystal Run Rd Ste 104a, Middletown, NY 10941-7003 | 2019-05-09 |
| 1144885070 | Nan Alison Sutter Hayworth | Ophthalmology | 214 Mclain St, Mount Kisco, NY 10549-4931 | 2019-05-06 |
| 1104383660 | Shani Golan | Ophthalmology | 325 E 64th St, New York, NY 10065-6709 | 2019-02-20 |
| 1205391224 | Gautam Kamthan Md PC | Ophthalmology | 250 E 39th St Apt 11g, New York, NY 10016-2178 | 2019-02-04 |
| Find all providers with the same taxonomy | ||||
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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.