Individual provider Active NPI

Savannah Peterson, OD

  • Optometrist
  • Friendswood, TX
National Provider Identifier
1659058428
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10823 Issued in TX
Practice address
105 E Parkwood Ave Ste 107
Friendswood, TX 77546-5727
Phone
(281) 972-3896
NPI assigned
Jul 3, 2023
Last updated
Jul 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10823 TX Primary

Addresses

Primary practice location

105 E Parkwood Ave Ste 107
Friendswood, TX 77546-5727

Mailing address

18833 Town Ridge LN Apt 2201
Webster, TX 77598-1625
Phone (360) 483-8283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20260320002661 WA Practitioner - Optometry 1456705078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Whatcom Vision Clinics LLCGroup PAC ID 7618866732, 4 clinicians

Practice addresses (Care Compare)

2222 James St a
Bellingham, WA 98225-4152
Phone (360) 676-4030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10823TXMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
James D. Winter & Associates, P.C. CurrentSince Aug 1, 2023 Accepting new patients
Whatcom Vision Clinics LLC Optometrist CurrentSince Feb 3, 2026 Accepting new patients

Locations

18333 Egret Bay Blvd
Ste 101
Houston, TX 77058
Phone (281) 488-5169

2222 James St
Ste A
Bellingham, WA 98225
Phone (360) 676-4030

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1659058428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18833 TOWN RIDGE LN APT 2201",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775981625",
            "telephone_number": "360-483-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E PARKWOOD AVE STE 107",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465727",
            "telephone_number": "281-972-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "SAVANNAH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Friendswood, TX

Sources for this page

Verify at the official NPI Registry.