William Loftin Petersen in Dana Point - Optometrist
William Loftin Petersen - NPI 1477690105
William Loftin Petersen is a Optometrist in Dana Point, California. William Loftin Petersen practices all healthcare services and medical treatments related to Optometrist. The NPI Number for William Loftin Petersen is 1477690105. The last update date is 2017-06-07.
William Loftin Petersen's current location address is 24692 Del Prado, Dana Point, California. You can contact this provider via phone number 9496611181 and fax number 9496618892. The mailing address for William Loftin Petersen is 24692 Del Prado, Dana Point, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William Loftin Petersen |
|---|---|
| Address | 24692 Del Prado, Dana Point, California |
| Phone Number | 9496611181 |
| Fax Number | 9496618892 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1477690105 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2017-06-07 |
Provider Mailing Address Detail
| Address | 24692 Del Prado |
|---|---|
| City | Dana Point |
| State | California (CA) |
| Post Code | 926293841 |
| Phone Number | 9496611181 |
| Fax Number | 9496618892 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 7031 T |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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What is the unique provider identifier assigned to William Loftin Petersen?
The William Loftin Petersen has been issued the NPI (National Provider Identifier) 1477690105 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the William Loftin Petersen's physical address?
The William Loftin Petersen is physically located at 24692 Del Prado, in the city of Dana Point, CA, with the postal code 926293841.
What is William Loftin Petersen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The William Loftin Petersen's specialized field of practice is Optometrist, and the corresponding taxonomy code that categorizes this area of specialization is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1477690105 to William Loftin Petersen?
The William Loftin Petersen received its 1477690105 assignment from the Centers for Medicare & Medicaid Services on 2007-01-31.
When was the information pertaining to William Loftin Petersen most recently updated or revised?
The details related to William Loftin Petersen, including its address, specialty, and other relevant information, were last updated or revised on 2017-06-07.
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