Individual provider Active NPI

Sharon Peterson, OD

  • Optometrist
  • Tucson, AZ
National Provider Identifier
1861423444
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1219 Issued in AZ
Practice address
6843 N Oracle Rd
Tucson, AZ 85704
Phone
(520) 888-0099
Fax
(520) 888-7929
NPI assigned
Jul 5, 2006
Last updated
Apr 25, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1219 AZ Primary

Addresses

Primary practice location

6843 N Oracle Rd
Tucson, AZ 85704

Mailing address

6843 N Oracle Rd
Tucson, AZ 85704
Phone (520) 888-0099

Other identifiers 1

IdentifierTypeStateIssuer
984197MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20060112000885 AZ Practitioner - Optometry 7911920210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John H McDougall OD Arizona PCGroup PAC ID 3274880117, 44 clinicians

Practice addresses (Care Compare)

3592 S Atherton Blvd
Suite 111
Gilbert, AZ 85297-7444
Phone (480) 988-4131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1219AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
John H McDougall OD Arizona PC Optometrist CurrentSince Mar 16, 2020 Accepting new patients

Locations

13125 N La Montana Dr
Ste 1
Fountain Hls, AZ 85268
Phone (480) 816-0102

3592 S Atherton Blvd
Ste 111
Gilbert, AZ 85297
Phone (480) 580-6671

230 W Continental Rd
Ste 408
Green Valley, AZ 85622
Phone (520) 327-2020

2820 N Campbell Ave
Tucson, AZ 85719
Phone (520) 323-3937

440 N Alvernon Way
Tucson, AZ 85711
Phone (520) 327-6211

4777 E Sunrise Dr
Ste 108
Tucson, AZ 85718

6615 N Oracle Rd
Tucson, AZ 85704
Phone (520) 797-8000

6987 N Oracle Rd
Tucson, AZ 85704
Phone (520) 297-2501

7125 E Tanque Verde Rd
Tucson, AZ 85715
Phone (520) 296-4157

Organizations & group practices 1

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1861423444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6843 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85704",
            "telephone_number": "520-888-0099",
            "fax_number": "520-888-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6843 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85704",
            "telephone_number": "520-888-0099",
            "fax_number": "520-888-7929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "SHARON",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "984197",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.