Ingrid C Peterson (NPI# 1477747988, PAC ID# 5294929931) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1477747988 |
| PAC ID by PECOS | 5294929931 |
| Professional Enrollment ID | I20101027000489 |
| Full Name | Ingrid C Peterson |
| Address |
820 W Lake Mary Blvd Suite 104 Sanford FL 32773-5946 |
| Gender | F |
| Medical School | UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY |
| Graduation Year | 1978 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 820 W Lake Mary Blvd, Suite 104, Sanford, FL 32773-5946 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Street Address |
820 W LAKE MARY BLVD SUITE 104 |
| City | SANFORD |
| State | FL |
| Zip | 32773-5946 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meena Augustine Joseph | Family Medicine | Florida Department of Health | 400 W Airport Blvd, Sanford, FL 32773-5489 |
| Xenie Ivancova | Infectious Disease | Florida Department of Health | 400 W Airport Blvd, Sanford, FL 32773-5489 |
| Karen West | Nurse Practitioner | Florida Department of Health | 400 W Airport Blvd, Sanford, FL 32773-5489 |
| Matthew Demetree | Chiropractic | 3505 S Orlando Dr, Sanford, FL 32773-5609 | |
| Normie Kane | Clinical Social Worker | 3291 Sanford Ave, Suite 64, Sanford, FL 32773-5865 | |
| Yanina Genao | Chiropractic | 111 E Lake Mary Blvd, Suite 115, Sanford, FL 32773-7111 |
| City | SANFORD |
| Zip Code | 32773 |
| Specialty | OPTOMETRY |
| City + Specialty | SANFORD + OPTOMETRY |
Please comment or provide details below to improve the information on Ingrid C 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.