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MICHAEL PETERSON MD NPI 1114911831


NPI Information

NPI: 1114911831
Provider Name: MICHAEL PETERSON, MD
Classification: Ophthalmology - 207W00000X
Entity Type: Individual
Address:
700 W KENT AVE
MISSOULA, MT
ZIP 59801
Phone: (406) 541-3937
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Michael Peterson, MD is an ophthalmology in Missoula, MT. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. Michael Peterson, MD NPI is 1114911831. 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:

700 W KENT AVE
MISSOULA, MT
ZIP 59801-772
Phone: (406) 541-3937
Fax: (406) 541-1810

The enumeration date for this NPI number is 9/8/2005 and was last updated on 4/14/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmology6492MONTANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1081471MEDICAIDMONTANA
29763MEDICARE ID-TYPE UNSPECIFIEDMONTANA
3E05558MEDICARE UPIN

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

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