Jeffrey Keith Peters, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1174 Issued in CO

Practice address

11245 Huron St
Westminster, CO 80234-2806

Phone

(303) 457-6646

Fax

(303) 457-6123

NPI assigned

Apr 14, 2006

Last updated

Nov 12, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194825600000",
    "number": "1891759973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 EAGLE DR",
            "city": "MILLIKEN",
            "state": "CO",
            "postal_code": "805439623",
            "telephone_number": "970-587-2726",
            "fax_number": "303-457-6123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11245 HURON ST",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342806",
            "telephone_number": "303-457-6646",
            "fax_number": "303-457-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "JEFFREY",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2007-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891759973",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melisa Perry, OTR
• Personal Myth Counseling
• Stephanie Leigh Persutte Manning, MA MFT
• Beth Renae Peters, PHD
• Jason Matthew Peters
• Mark L Peters, MD
• Sallie Peters, PA
• April Peterson, LOC
• Barbara Jean Peterson, PHARMACIST
• Jon Tor Peterson, PHARMD

• Optometrist in Westminster, CO
• Providers in Westminster, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; 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.