Paula C Peterson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

AZ0477 Issued in AZ

Practice address

440 N Alvernon Way
Tucson, AZ 85711-1958

Phone

(520) 327-6215

Fax

(520) 327-9546

NPI assigned

Aug 31, 2006

Last updated

May 14, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273795200000",
    "number": "1073624524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N ALVERNON WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111958",
            "telephone_number": "520-327-6215",
            "fax_number": "520-327-9546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 N ALVERNON WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111958",
            "telephone_number": "520-327-6215",
            "fax_number": "520-327-9546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "PAULA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "AZ0477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034421",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Marie Peterson, L.AC. DIPL.AC.
• Margaret Peterson
• Mark Steven Peterson, MD
• Mikael Brian Peterson, PHARMD.
• Mimi M Peterson, M.D.
• Raymond William Peterson Jr., DPM
• Shannon Lynn Peterson, RN
• Sharon Peterson, OD
• Shaun N Peterson, MD
• Spencer O'Brien Peterson, D.O.

• Optometrist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.