Christopher Glen Petersen in Quincy - Optometrist
Christopher Glen Petersen - NPI 1316937840
Christopher Glen Petersen is a Optometrist in Quincy, Washington. Christopher Glen Petersen practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Christopher Glen Petersen is 1316937840. The last update date is 2008-05-29.
Christopher Glen Petersen's current location address is Po Box 488, Quincy, Washington. You can contact this provider via phone number 5097871581 and fax number 5097879176. The mailing address for Christopher Glen Petersen is Po Box 488, Quincy, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christopher Glen Petersen |
|---|---|
| Address | Po Box 488, Quincy, Washington |
| Phone Number | 5097871581 |
| Fax Number | 5097879176 |
| Sole Proprietor | Y |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1316937840 |
|---|---|
| Provider Enumeration Date | 2005-10-26 |
| Last Updated Date | 2008-05-29 |
Provider Mailing Address Detail
| Address | Po Box 488 |
|---|---|
| City | Quincy |
| State | Washington (WA) |
| Post Code | 988480488 |
| Phone Number | 5097871581 |
| Fax Number | 5097879176 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | OD1175TX |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2021194 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Christopher Glen Petersen by the Centers for Medicare & Medicaid Services?
The Christopher Glen Petersen has been assigned the NPI (National Provider Identifier) 1316937840 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Christopher Glen Petersen's physical address?
The Christopher Glen Petersen is physically located at Po Box 488, in the city of Quincy, WA, with the postal code 988480488.
What is Christopher Glen Petersen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Christopher Glen Petersen is Optometrist, and the corresponding taxonomy classification code for this specialized field is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1316937840 to Christopher Glen Petersen?
The Centers for Medicare & Medicaid Services assigned the 1316937840 to Christopher Glen Petersen on 2005-10-26.
When was the information related to Christopher Glen Petersen most recently updated or refreshed?
The details pertaining to the Christopher Glen Petersen, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-05-29.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY