DR. MICHAEL SCOTT PETERSON O.D. NPI 1437177656

NPI Information

NPI: 1437177656
Provider Name: DR. MICHAEL SCOTT PETERSON, O.D.
Classification: Optometrist - 152WL0500X
Entity Type: Individual

Specialization: Low Vision Rehabilitation

Address:
1201 BROAD ROCK BLVD
RICHMOND, VA
ZIP 23249
Phone: (804) 675-5000
Get Directions

DR. Michael Scott Peterson, O.D. is a low vision rehabilitation optometrist in Richmond, VA. The provider is optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. DR. Michael Scott Peterson, O.D. NPI is 1437177656. 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:

1201 BROAD ROCK BLVD
RICHMOND, VA
ZIP 23249-001
Phone: (804) 675-5000
Fax: (804) 675-5908

The enumeration date for this NPI number is 7/17/2006 and was last updated on 9/24/2020.

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
1	152WC0802X	Optometrist	Corneal and Contact Management	7533	TEXAS	No
2	152WS0006X	Optometrist	Sports Vision	4901004024	MICHIGAN	No
3	152WL0500X	Optometrist	Low Vision Rehabilitation	0618002288	VIRGINIA	Yes

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
1	4309851	MEDICAID	MICHIGAN

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: 4/28/2024

NPI Synchronization or Removal

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