Walter F Peterson OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD-T334 Issued in TN

Legal business name

WALTER F PETERSON OD PC

Doing business as

oakmont family eyecare

Practice address

2020 Keith St NW
Cleveland, TN 37311-1351

Phone

(423) 472-6517

Fax

(423) 476-8578

NPI assigned

Aug 23, 2007

Last updated

Dec 7, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Walter F Peterson, OD PCNPI 1649270703

Title

Owner

Phone

(423) 472-6517

Specialties & licenses 1

Addresses

Other names 1

• oakmont family eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 5

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.

• Elizabeth ('Kari') Carrigan Hudson, O.D.

  • Optometrist
  • Cleveland, TN
  • NPI 1467595041
  Medicare reassignment Care Compare group NPD
• Samantha Macchio Kapperman, OD

  • Optometrist
  • Cleveland, TN
  • NPI 1831799063
  Medicare reassignment Care Compare group NPD
• Blake Allen Peterson, OD

  • Optometrist
  • Cleveland, TN
  • NPI 1942200159
  Medicare reassignment Care Compare group NPD
• Walter F Peterson, OD

  • Optometrist
  • Cleveland, TN
  • NPI 1649270703
  Authorized official Same address or phone
• Samuel R Hobbs, OD

  • Optometrist
  • Trent Woods, NC
  • NPI 1922011980
  NPD (past)

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1962695916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373111351",
            "telephone_number": "423-472-6517",
            "fax_number": "423-476-8578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373111351",
            "telephone_number": "423-472-6517",
            "fax_number": "423-476-8578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER F PETERSON OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-472-6517",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD PC"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD-T334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "oakmont family eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber Walker
• Daniel Joseph Walker I, DMIN
• Jennifer Dawn Walker, PA-C
• Julie P Walker, RN, CPNP
• Graicyn McKenzie Walkup
• Erin Janelle Wanner, PHARMD
• Courtney Ward
• David G Ward, DDS
• Jodie Amanda Ward, LMT
• Robert Gene Washington Jr., BEHAVIOR TECHNICIAN

• Optometrist in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.