NPIMap

Organization Active NPI

Steven G. Peterson, O.D., Inc.

  • Optometrist
  • La Mesa, CA
National Provider Identifier
1760741573
Registry record updated Jul 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT7554 Issued in CA
Legal business name
STEVEN G. PETERSON, O.D., INC.
Practice address
7090 Parkway Dr
La Mesa, CA 91942-1596
Phone
(619) 286-2810
Fax
(619) 286-0597
NPI assigned
May 14, 2012
Last updated
Jul 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2012

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

Authorized official

Name
Dr. Steven Gene Peterson, O.D.NPI 1659331320
Title
Owner/President
Phone
(619) 286-2819

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT7554 CA Primary

Addresses

Primary practice location

7090 Parkway Dr
La Mesa, CA 91942-1596

Mailing address

7090 Parkway Dr
La Mesa, CA 91942-1596
Phone (619) 286-2810

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343260800000",
    "number": "1760741573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7090 PARKWAY DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919421596",
            "telephone_number": "619-286-2810",
            "fax_number": "619-286-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7090 PARKWAY DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919421596",
            "telephone_number": "619-286-2810",
            "fax_number": "619-286-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN G. PETERSON, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-07-26",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "619-286-2819",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT7554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; 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.