Warren H. Peterson, O.D.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

IA1825 Issued in IA

Legal business name

WARREN H. PETERSON, O.D.

Practice address

123 W Salem Ave
Indianola, IA 50125-2518

Phone

(515) 961-2809

Fax

(515) 961-0768

NPI assigned

Jun 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Warren Howard Peterson, O.D.

Title

Owner

Phone

(515) 961-2809

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1386803534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 W SALEM AVE",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501252518",
            "telephone_number": "515-961-2809",
            "fax_number": "515-961-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 W SALEM AVE",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501252518",
            "telephone_number": "515-961-2809",
            "fax_number": "515-961-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN H. PETERSON, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-961-2809",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IA",
            "license": "IA1825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Indianola, IA
• Providers in Indianola, IA by specialty
• Eyewear Supplier in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.