Blake Allen Peterson (NPI# 1942200159, PAC ID# 7214084367) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1942200159 |
PAC ID by PECOS | 7214084367 |
Professional Enrollment ID | I20111114000540 |
Full Name | Blake Allen Peterson |
Organization Legal Name | WALTER F PETERSON OD PC |
Address |
2020 Keith Nwst Cleveland TN 37311-1351 |
Phone Number | 4234726517 |
Gender | M |
Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
Graduation Year | 1985 |
Primary Specialty | OPTOMETRY |
Group Practice PAC ID | 6305993452 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
2020 Keith Nwst, Cleveland, TN 37311-1351 | 4234726517 | WALTER F PETERSON OD PC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 100% | |
MIPS_EC_014_overall | Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 100% | |
MIPS_EC_019_overall | Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care | 100% | |
MIPS_EC_140_overall | Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement | 100% |
Organization Legal Name | WALTER F PETERSON OD PC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Elizabeth C Hudson | Optometry | Walter F Peterson Od PC | 2020 Keith Nwst, Cleveland, TN 37311-1351 |
Street Address |
2020 KEITH NWST |
City | CLEVELAND |
State | TN |
Zip | 37311-1351 |
Name | Specialty | Organization | Address |
---|---|---|---|
Elizabeth C Hudson | Optometry | Walter F Peterson Od PC | 2020 Keith Nwst, Cleveland, TN 37311-1351 |
Name | Specialty | Organization | Address |
---|---|---|---|
Dennis C Ford | Interventional Pain Management | Ford Center for Pain Management | 2020 Keith St Nw C, Cleveland, TN 37311-1351 |
Gregory Vanfossen | Nurse Practitioner | Ford Center for Pain Management | 2020 Keith St Nw C, Cleveland, TN 37311-1351 |
Sarah Ford | Nurse Practitioner | Ford Center for Pain Management | 2020 Keith St Nw C, Cleveland, TN 37311-1351 |
John N Gernert | Podiatry | 105 Keith St, Cleveland, TN 37311-1704 | |
Leland W Wear | Chiropractic | 755 Broad St Nw, Suite C, Cleveland, TN 37311-2248 | |
Michael L Hoops | Plastic and Reconstructive Surgery | 597 Church St Ne, Cleveland, TN 37311-2275 | |
Dean Leroy Bowen | Nurse Practitioner | Volunteer Behavioral Health Care System | 940 S Ocoee St, Cleveland, TN 37311-2601 |
Troy D Gilson | Psychiatry | Volunteer Behavioral Health Care System | 940 S Ocoee St, Cleveland, TN 37311-2601 |
Nicholas S Hatcher | Nurse Practitioner | Volunteer Behavioral Health Care System | 940 S Ocoee St, Cleveland, TN 37311-2601 |
Matthew Smith | Nurse Practitioner | Volunteer Behavioral Health Care System | 940 S Ocoee St, Cleveland, TN 37311-2601 |
Find all physicians in zip 37311 |
City | CLEVELAND |
Zip Code | 37311 |
Specialty | OPTOMETRY |
City + Specialty | CLEVELAND + 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.