Luke T Peterson (NPI# 1659698967, PAC ID# 3971721333) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1659698967 |
| PAC ID by PECOS | 3971721333 |
| Professional Enrollment ID | I20190206000206 |
| Full Name | Luke T Peterson |
| Organization Legal Name | METROLINA EYE ASSOCIATES, PLLC |
| Address |
630 Comfort Lane Monroe NC 28112-6199 |
| Phone Number | 7042895455 |
| Gender | M |
| Medical School | EMORY UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 7315908498 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340130 | CAROLINAS HEALTHCARE SYSTEM UNION |
| Address | Phone | Organization |
|---|---|---|
| 6237 Carolina Commons Dr, Suite 300, Indian Land, SC 29707-6015 | 8665769998 | METROLINA EYE ASSOCIATES, PLLC |
| 630 Comfort Lane, Monroe, NC 28112-6199 | 7042895455 | METROLINA EYE ASSOCIATES, PLLC |
| Organization Legal Name | METROLINA EYE ASSOCIATES, PLLC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles Adam Blotnick | Ophthalmology | Metrolina Eye Associates, Pllc | 4101 Campus Ridge Rd, Matthews, NC 28105-5077 |
| Sean N. Pitale | Optometry | Metrolina Eye Associates, Pllc | 6237 Carolina Commons Dr, Suite 300, Indian Land, SC 29707-6015 |
| Michelle Lynn Beachkofsky | Optometry | Metrolina Eye Associates, Pllc | 6237 Carolina Commons Dr, Suite 300, Indian Land, SC 29707-6015 |
| Benjamin Poznic | Optometry | Metrolina Eye Associates, Pllc | 4101 Campus Ridge Rd, Matthews, NC 28105-5077 |
| Jason B Berkebile | Optometry | Metrolina Eye Associates, Pllc | 4101 Campus Ridge Rd, Matthews, NC 28105-5077 |
| Ivan Mac | Ophthalmology | Metrolina Eye Associates, Pllc | 630 Comfort Lane, Monroe, NC 28112-6199 |
| Christine C Annunziata | Ophthalmology | Metrolina Eye Associates, Pllc | 4101 Campus Ridge Rd, Matthews, NC 28105-5077 |
| Dara Khalatbari | Ophthalmology | Metrolina Eye Associates, Pllc | 4101 Campus Ridge Rd, Matthews, NC 28105-5077 |
| Shivali Piyush Desai | Optometry | Metrolina Eye Associates, Pllc | 6237 Carolina Commons Dr, Suite 300, Indian Land, SC 29707-6015 |
| Kasey A Ratliff | Physician Assistant | Metrolina Eye Associates, Pllc | 4101 Campus Ridge Rd, Matthews, NC 28105-5077 |
| Street Address |
630 COMFORT LANE |
| City | MONROE |
| State | NC |
| Zip | 28112-6199 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ivan Mac | Ophthalmology | Metrolina Eye Associates, Pllc | 630 Comfort Lane, Monroe, NC 28112-6199 |
| Priya Sheth | Optometry | Metrolina Eye Associates, Pllc | 630 Comfort Lane, Monroe, NC 28112-6199 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Debra Myhr | Physical Therapy | Orthocarolina, Pa | 703 Comfort Lane, Monroe, NC 28112 |
| John B Meade | Orthopedic Surgery | Orthocarolina, Pa | 703 Comfort Lane, Monroe, NC 28112 |
| Tanya M Crooks | Occupational Therapy | Orthocarolina, Pa | 703 Comfort Lane, Monroe, NC 28112 |
| Konrad L Sekula | Physical Therapy | Orthocarolina, Pa | 703 Comfort Lane, Monroe, NC 28112 |
| Adam W Fosnaugh | Orthopedic Surgery | Orthocarolina, Pa | 703 Comfort Lane, Monroe, NC 28112 |
| Marcus S Briones | Orthopedic Surgery | Orthocarolina, Pa | 703 Comfort Lane, Monroe, NC 28112 |
| David Thomas Anderson | Orthopedic Surgery | Orthocarolina, Pa | 703 Comfort Lane, Monroe, NC 28112 |
| John Aycock | Optometry | 808 Circle Dr, Monroe, NC 28112-3800 | |
| Melissa Ann Benson | Nurse Practitioner | The Presbyterian Hospital | 1640 E Roosevelt Blvd, Monroe, NC 28112-4017 |
| Scott Leonard Jaben | Ophthalmology | Charlotte Eye Ear Nose and Throat Associates Pa | 1632 E Roosevelt Blvd, Monroe, NC 28112-4017 |
| Find all physicians in zip 28112 | |||
| City | MONROE |
| Zip Code | 28112 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | MONROE + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Luke T Peterson.
| 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.