Jay B Petersen (NPI# 1801999388, PAC ID# 1557302544) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1801999388 |
| PAC ID by PECOS | 1557302544 |
| Professional Enrollment ID | I20050519000905 |
| Full Name | Jay B Petersen |
| Address |
8332 Hwy 7 St Louis Park MN 55426-3991 |
| Gender | M |
| Credential | OD |
| Medical School | INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY |
| Graduation Year | 1978 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 8332 Hwy 7, St Louis Park, MN 55426-3991 |
| Street Address |
8332 HWY 7 |
| City | ST LOUIS PARK |
| State | MN |
| Zip | 55426-3991 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Beverly J Ludwig | Optometry | Real Eyes LLC | 8332 Hwy 7, St Louis Park, MN 55426-3991 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah L Anderson | Clinical Psychologist | Associated Clinic of Psychology Inc | 1155 Ford Rd B, St Louis Park, MN 55426-1115 |
| Devon Elizabeth Whitehead | Psychologist, Clinical | Associated Clinic of Psychology Inc | 1155 Ford Rd, Suite B, St Louis Park, MN 55426-1115 |
| Haley N Carlock | Nurse Practitioner | Associated Clinic of Psychology Inc | 1155 Ford Rd, Suite B, St Louis Park, MN 55426-1115 |
| Natalie A Rosen | Certified Clinical Nurse Specialist (cns) | Associated Clinic of Psychology Inc | 1155 Ford Rd, Suite B, St Louis Park, MN 55426-1115 |
| Francis J Pasnecker | Psychologist, Clinical | Associated Clinic of Psychology Inc | 1155 Ford Rd, Suite B, St Louis Park, MN 55426-1115 |
| Muriel D Philipp | Certified Clinical Nurse Specialist (cns) | Associated Clinic of Psychology Inc | 1155 Ford Rd, Suite B, St Louis Park, MN 55426-1115 |
| Dean K Knudson | Psychiatry | Associated Clinic of Psychology Inc | 1155 Ford Rd, Suite B, St Louis Park, MN 55426-1115 |
| Jerrion A Richardson | Clinical Social Worker | Associated Clinic of Psychology Inc | 1155 Ford Rd, Suite B, St Louis Park, MN 55426-1115 |
| Sharon E Schultz | Nurse Practitioner | Associated Clinic of Psychology Inc | 1155 Ford Rd, Suite B, St Louis Park, MN 55426-1115 |
| Robin M Bixler | Psychiatry | Associated Clinic of Psychology Inc | 1155 Ford Rd, Suite B, St Louis Park, MN 55426-1115 |
| Find all physicians in zip 55426 | |||
| City | ST LOUIS PARK |
| Zip Code | 55426 |
| Specialty | OPTOMETRY |
| City + Specialty | ST LOUIS PARK + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.