Bert M Peterson Jr. (NPI# 1972607323, PAC ID# 3971640038) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1972607323 |
| PAC ID by PECOS | 3971640038 |
| Professional Enrollment ID | I20091021000583 |
| Full Name | Bert M Peterson Jr. |
| Address |
1421 S Main St Farmville VA 23901-2531 |
| Phone Number | 4343928408 |
| Gender | M |
| Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 1979 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 1421 S Main St, Farmville, VA 23901-2531 | 4343928408 |
| Street Address |
1421 S MAIN ST |
| City | FARMVILLE |
| State | VA |
| Zip | 23901-2531 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam Robb Keeler | Chiropractic | 1421 S Main St, Chambersburg, PA 17201-8676 | |
| Kathleen M Fryburger | Physician Assistant | Quality Acute Care Pa | 1421 S Main St, 111 Boerne Acute Care, Boerne, TX 78006-3322 |
| Elizabeth M Gardner | Physician Assistant | Quality Acute Care Pa | 1421 S Main St, 111 Boerne Acute Care, Boerne, TX 78006-3322 |
| Gale T Gregory Laine | Emergency Medicine | Quality Acute Care Pa | 1421 S Main St, 111 Boerne Acute Care, Boerne, TX 78006-3322 |
| James M Crawford | Physician Assistant | Quality Acute Care Pa | 1421 S Main St, 111 Boerne Acute Care, Boerne, TX 78006-3322 |
| Curtis Stubblefield | Physician Assistant | Quality Acute Care Pa | 1421 S Main St, 111 Boerne Acute Care, Boerne, TX 78006-3322 |
| David Michael Polston | Physician Assistant | Quality Acute Care Pa | 1421 S Main St, 111 Boerne Acute Care, Boerne, TX 78006-3322 |
| Jesse A Boutwell | Physician Assistant | Quality Acute Care Pa | 1421 S Main St, 111 Boerne Acute Care, Boerne, TX 78006-3322 |
| Richard J Levada | Physician Assistant | Quality Acute Care Pa | 1421 S Main St, 111 Boerne Acute Care, Boerne, TX 78006-3322 |
| Gregory D Mccrum | Physician Assistant | Quality Acute Care Pa | 1421 S Main St, 111 Boerne Acute Care, Boerne, TX 78006-3322 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea Blaisdell | Physical Therapy | Centra Outpatient Rehabilitation Services LLC | 935 Main St, Farmville, VA 23901 |
| Rhian Mccann | Physical Therapy | Centra Outpatient Rehabilitation Services LLC | 935 Main St, Farmville, VA 23901 |
| Jonathan Lundberg | Physical Therapy | Centra Outpatient Rehabilitation Services LLC | 935 Main St, Farmville, VA 23901 |
| Jennifer Mohan | Speech Language Pathologist | Centra Outpatient Rehabilitation Services LLC | 935 Main St, Farmville, VA 23901 |
| Sarah Parker | Speech Language Pathologist | Centra Outpatient Rehabilitation Services LLC | 935 Main St, Farmville, VA 23901 |
| Shashidharan B Ayer | Nephrology | 1801 E 3rd St, Farmville, VA 23901-0245 | |
| Ripon W La Roche | Ophthalmology | Southside Eye Center PC | 1511 W 3rd St, Farmville, VA 23901-0506 |
| St Claire R La Roche | Optometry | Southside Eye Center PC | 1511 W 3rd St, Farmville, VA 23901-0506 |
| Ripon W La Roche Iii | Optometry | Southside Eye Center PC | 1511 W 3rd St, Farmville, VA 23901-0506 |
| Edwina C Wilson | Family Medicine | Central Virginia Health Services Inc | 833 Buffalo St, Farmville, VA 23901-1111 |
| Find all physicians in zip 23901 | |||
| City | FARMVILLE |
| Zip Code | 23901 |
| Specialty | OPTOMETRY |
| City + Specialty | FARMVILLE + OPTOMETRY |
Please comment or provide details below to improve the information on Bert M Peterson Jr..
| 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.