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DR. DONALD LEON PETERSON OD NPI 1215939137


NPI Information

NPI: 1215939137
Provider Name: DR. DONALD LEON PETERSON, OD
Classification: Optometrist - 152W00000X
Entity Type: Individual
Address:
813 SW HIGHLAND AVE
REDMOND, OR
ZIP 97756
Phone: (541) 548-7170
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DR. Donald Leon Peterson, OD is an optometrist in Redmond, OR. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. DR. Donald Leon Peterson, OD NPI is 1215939137. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

813 SW HIGHLAND AVE
REDMOND, OR
ZIP 97756-123
Phone: (541) 548-7170

The enumeration date for this NPI number is 8/11/2005 and was last updated on 12/17/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometrist1290TOREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G8860954MEDICARE PINWASHINGTON
2G8860952MEDICARE PINWASHINGTON
3G8860956MEDICARE PINWASHINGTON
41591840MEDICARE PINIDAHO
5T44378MEDICARE UPIN
6K160821MEDICARE PINALASKA
7G8860955MEDICARE PINWASHINGTON
8041WCRBJAMEDICARE ID-TYPE UNSPECIFIED
9G8860957MEDICARE PINWASHINGTON
10A002OTHERCHAMPUS
11236067MEDICAIDOREGON
12R135003MEDICARE PINOREGON
13G8860953MEDICARE PINWASHINGTON
140483956MEDICARE PINMONTANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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