Peterson Eyecare PC

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

02103 Issued in IA

Legal business name

PETERSON EYECARE PC

Practice address

2805 Blairs Ferry Rd NE
Suite B
Cedar Rapids, IA 52411

Phone

(319) 832-2020

Fax

(319) 832-2015

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Chad D Peterson, O.D.NPI 1114951746

Title

President Optometrist

Phone

(319) 832-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chad D Peterson, O.D.

  • Corneal and Contact Management Optometrist
  • Cedar Rapids, IA
  • NPI 1114951746
  Medicare reassignment NPD Authorized official
• Wayne Steven Huebener, O.D.

  • Optometrist
  • Coralville, IA
  • NPI 1295841302
  Medicare reassignment NPD

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1639387988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 BLAIRS FERRY RD NE",
            "address_2": "SUITE B",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "52411",
            "telephone_number": "319-832-2020",
            "fax_number": "319-832-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 BLAIRS FERRY RD NE",
            "address_2": "SUITE B",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "52411",
            "telephone_number": "319-832-2020",
            "fax_number": "319-832-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSON EYECARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT OPTOMETRIST",
        "authorized_official_telephone_number": "319-832-2020",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IA",
            "license": "02103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0235770",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darona Perry
• Peter Ruggiero DDS PC
• Peters Legacy, Inc
• Claire Elise Petersen, MS, CCC-SLP
• Linda A Petersen, ARNP, CFNP
• Andrew Craig Peterson, MD
• Barbara Ann Peterson, DNP, AGNP-C
• Chad D Peterson, O.D.
• Gordon Charles Peterson, D.D.S.
• Kate Noelle Peterson

• Corneal and Contact Management Optometrist in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Corneal and Contact Management Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.