Andrew Peterson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046012014 Issued in IL

Practice address

1100 W Central Rd Ste 205
Arlington Heights, IL 60005-2465

Phone

(847) 253-4040

NPI assigned

Jul 25, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Suburban Associates in Ophthalmology LLCGroup PAC ID 5294740320, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Suburban Associates in Ophthalmology LLC

  • Ophthalmology Physician
  • Arlington Heights, IL
  • NPI 1316032337

  IL

  Medicare reassignment Care Compare group NPD
• Suburban Associates in Ophthalmology LLC

  • Ophthalmology Physician
  • Arlington Heights, IL
  • NPI 1194069732
  NPD (past)
• Suburban Associates in Ophthalmology LLC

  • Ophthalmology Physician
  • Arlington Heights, IL
  • NPI 1245583715
  NPD (past)

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

{
    "created_epoch": "1753401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1194608422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W CENTRAL RD STE 205",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052465",
            "telephone_number": "847-253-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W CENTRAL RD STE 205",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052465",
            "telephone_number": "847-253-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "ANDREW",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-25",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046012014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Ryan Peters, MD
• Jay E Peters
• John R. Peters, M.D.
• Shirley Peters, PHARMD
• Georgia Jean Petersen, SLP
• Christine Patricia Peterson
• Andrew Frank Petlak, D.D.S.
• Michelle R. Petrak, PH.D., CCC-A
• Brianne E Petrey
• Alexis Gabrielle Petrielli

• All providers in Arlington Heights, IL
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.