ROBERT JAMES PETERSON (NPI# 1982768040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982768040 |
| Entity Type | Individual |
| Full Name | ROBERT JAMES PETERSON |
| Credential | OD OPTOMETRIST |
| Practice Address |
4306 W Crystal Lk Road Mchenry IL 60050-4294 |
| Mailing Address |
4306 W Crystal Lake Road Mchenry IL 60050-4294 |
| Practice Telephone | 8153857930 |
| Practice Fax Number | 8153859234 |
| Mailing Telephone | 8153857930 |
| Mailing Fax Number | 8153859234 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | IL | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902206683 | Robert Peterson | Otolaryngology | 3921 E Nora Cir, Mesa, AZ 85215-1077 | 2014-08-29 |
| 1255605911 | Robert Dennis Peterson | Acupuncturist | 1214 S Alma St, #5, San Pedro, CA 90731-3949 | 2012-02-28 |
| 1295006419 | Robert Michael Peterson Jr. | Dentist | 747 W. Devon, Park Ridge, IL 60068 | 2012-01-19 |
| 1871822361 | Robert Curt Peterson | Psychologist | 5041 Warm Springs Rd Ste C, Columbus, GA 31909-6938 | 2009-12-14 |
| 1285849067 | Robert Kenneth Peterson | Licensed Practical Nurse | 5979 Renner Rd, Columbus, OH 43228-9588 | 2007-05-14 |
| 1467581025 | Robert Jason Peterson | Preventive Medicine | 1614 Wrightstown Rd, Newtown, PA 18940-2814 | 2007-03-02 |
| 1437294923 | Robert Schaefer Peterson | Psychologist | 865 Hilltop Road, Erie, PA 16509-2153 | 2007-02-21 |
| 1518010636 | Robert Lee Peterson | Case Manager/Care Coordinator | 915 S Mckinley St, Casper, WY 82601-3440 | 2007-01-19 |
| 1720144876 | Robert Lester Peterson | Family Medicine | 900 Riverside Dr, Suite IIi, Waupaca, WI 54981-1983 | 2006-12-30 |
| 1104922491 | Robert G Peterson | Specialist | 24910 Las Brisas Rd Ste 121, Murrieta, CA 92562-4035 | 2006-09-15 |
| Street Address |
4306 W CRYSTAL LK ROAD |
| City | MCHENRY |
| State | IL |
| Zip Code | 60050-4294 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
| 1992274971 | Lisa Luedtke | Counselor | 5342 West Elm Street, Mchenry, IL 60050 | 2018-11-19 |
| 1013402825 | Fox Ridge Medical Associates, LLC | Internal Medicine | 3633 Municipal Dr, Mchenry, IL 60050 | 2018-06-25 |
| 1700387065 | Richard Stacy Birmantas | Speech-Language Pathologist | 6515 West Route 120, Mchenry, IL 60050 | 2018-02-22 |
| 1659888774 | Kathleen Mather | Speech-Language Pathologist | 3502 Washington St, Mchenry, IL 60050 | 2018-01-10 |
| 1891205605 | Delorean Mckinney | Psychologist | 4031 Dayton Ave, Mchenry, IL 60050 | 2017-10-06 |
| 1851810741 | Diana Park | Pharmacist | 2253 N. Richmond Rd., Mchenry, IL 60050 | 2017-09-12 |
| 1063931921 | Lauren M Young | Counselor | 4031 W. Dayton Street, Mchenery, IL 60050 | 2017-09-12 |
| 1376086264 | Elizabeth Kathleen Zacher | Social Worker | 4100 W Dayton Street, Mchenry, IL 60050 | 2016-11-23 |
| 1700332491 | Jasmine Elias | Social Worker | 4031 Dayton St, Mchenry, IL 60050 | 2016-09-01 |
| Find all providers in zip 60050 | ||||
| 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 |
|---|---|---|---|---|
| 1992189468 | Ossip Management Solutions LLC | Optometrist | 4306 W Crystal Lake Rd Ste D, Mchenry, IL 60050-4249 | 2015-07-15 |
| 1487818100 | Mariah Irene Aleman | Optometrist | 2453 N Richmond Rd, Suite D01a, Mchenry, IL 60051-5422 | 2008-07-11 |
| 1861524282 | Catherine Bruce | Optometrist | 2210 N Richmond Rd, Mchenry, IL 60051-5423 | 2007-03-12 |
| 1730249830 | Michael Mlynski | Optometrist | 2463 Richmond Rd, Mchenry, IL 60050-1017 | 2006-12-11 |
| 1568568186 | Daniel Joseph Jannotta | Optometrist | 4306d W Crystal Lake Rd, Mchenry, IL 60050 | 2006-09-15 |
| 1023124518 | Kathryn Lynn Wilson | Optometrist | 2019 N Richmond Rd, Mchenry, IL 60050-1418 | 2006-08-21 |
| 1386653806 | Bertram P. Irslinger | Optometrist | 409 Front St, Mchenry, IL 60050-5527 | 2006-08-05 |
| 1952310591 | Mchenry Optical Ltd. | Optometrist | 4005 W Kane Ave, Suite F, Mchenry, IL 60050-6305 | 2006-08-05 |
| 1194763359 | Katherine Suzanne Delgadillo | Optometrist | 2050 N Richmond Rd, Mchenry, IL 60051-5419 | 2006-06-02 |
| 1326582982 | Rosin Optical Co., Inc. | Optometrist | 4306 W Crystal Lake Rd, Mchenry, IL 60050-4280 | 2016-12-15 |
| Find all providers in MCHENRY | ||||
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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.