Blake Allen Peterson in Cleveland - Optometrist
Blake Allen Peterson - NPI 1942200159
Blake Allen Peterson is a Optometrist in Cleveland, Tennessee. Blake Allen Peterson practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Blake Allen Peterson is 1942200159. The last update date is 2007-12-06.
Blake Allen Peterson's current location address is 2020 Keith St Nw, Cleveland, Tennessee. You can contact this provider via phone number 4234726517 and fax number 4234768578. The mailing address for Blake Allen Peterson is 2020 Keith St Nw, Cleveland, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Blake Allen Peterson |
|---|---|
| Address | 2020 Keith St Nw, Cleveland, Tennessee |
| Phone Number | 4234726517 |
| Fax Number | 4234768578 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1942200159 |
|---|---|
| Provider Enumeration Date | 2005-07-29 |
| Last Updated Date | 2007-12-06 |
Provider Mailing Address Detail
| Address | 2020 Keith St Nw |
|---|---|
| City | Cleveland |
| State | Tennessee (TN) |
| Post Code | 373111351 |
| Phone Number | 4234726517 |
| Fax Number | 4234768578 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | ODT1031 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Blake Allen Peterson by the Centers for Medicare & Medicaid Services (CMS)?
The Blake Allen Peterson has been assigned the NPI (National Provider Identifier) 1942200159. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Blake Allen Peterson's facilities are situated?
The facilities of Blake Allen Peterson are physically located at the following address: 2020 Keith St Nw, Cleveland, TN, 373111351.
What is the Blake Allen Peterson's area of specialization and corresponding taxonomy classification?
The Blake Allen Peterson's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.
On what date did Blake Allen Peterson receive its 1942200159 assignment from the Centers for Medicare & Medicaid Services?
The Blake Allen Peterson was assigned its 1942200159 on 2005-07-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Blake Allen Peterson most recently updated or revised?
The details related to Blake Allen Peterson, including its address, specialty, and other relevant information, were last updated or revised on 2007-12-06.