DR. RENEE LYNN PETERSON (NPI# 1174603047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174603047 |
Entity Type | Individual |
Full Name | DR. RENEE LYNN PETERSON |
Credential | O.D. |
Practice Address |
200 Millcreek Plz Erie PA 16565-1102 |
Mailing Address |
1471 Hendersonville Rd Sandy Lake PA 16145-3419 |
Practice Telephone | 8148644858 |
Practice Fax Number | 8148640398 |
Mailing Telephone | 7243763785 |
Mailing Fax Number | 8148640398 |
Enumeration Date | 2006-10-16 |
Last Update Date | 2010-12-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | PA OEG000497 | PA | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | BLUE CROSS BLUE SHIELD | 084515 | 01 |
PA | DAVIS VISION | 50025 | 01 |
PA | 0075779450002 | 05 | |
PA | NAT'L VISION ADMINISTRATO | 397044 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992317747 | Renee F Peterson | Physical Therapist | 600 Chastain Rd Nw Ste 428, Kennesaw, GA 30144-3210 | 2020-08-21 |
1497224265 | Renee Elizabeth Peterson | Case Manager/Care Coordinator | 500 Walnut St Fl 3, Mckeesport, PA 15132-2801 | 2018-11-21 |
1396281325 | Renee Peterson | Behavioral Analyst | 1858 E 8th Ave, Spokane, WA 99202-3410 | 2017-01-14 |
1093886137 | Renee P Peterson | Nurse Anesthetist, Certified Registered | 1 Burdick Expy W, Minot, ND 58701-4406 | 2006-11-12 |
Street Address |
200 MILLCREEK PLZ |
City | ERIE |
State | PA |
Zip Code | 16565-1102 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275733891 | Vision Associates of Western Pa | Optometrist | 200 Millcreek Plz, Erie, PA 16565-1102 | 2007-07-22 |
1366596942 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 200 Millcreek Plz, Erie, PA 16565-5102 | 2007-01-22 |
1790865665 | Jason Wayne Hull | Optometrist | 200 Millcreek Plz, Erie, PA 16565-1102 | 2006-10-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134434202 | Chic Wigs LLC | Durable Medical Equipment & Medical Supplies | 5630 Peach Str, B-19, Erie, PA 16565 | 2010-08-13 |
1043391105 | Visionworks, Inc. | Durable Medical Equipment & Medical Supplies | 560 Millcreek Mall, Erie, PA 16565 | 2006-10-17 |
1972510600 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 840 Mill Creek Mall, Erie, PA 16565 | 2006-08-02 |
1780946624 | Ashley N Harris | Optometrist | 560 Millcreek Mall # 400, Erie, PA 16565-0502 | 2012-06-15 |
1619264686 | Emily J Hosack | Optometrist | 560 Millcreek Mall, Erie, PA 16565-0502 | 2011-06-29 |
1063579837 | Visionworks, Inc. | Optometrist | 560 Millcreek Mall, Erie, PA 16565-0502 | 2007-01-02 |
1659544856 | Arthur Oligeri IIi | Specialist | 220 Millcreek Plz, 2070 Interchange Road, Erie, PA 16565-1102 | 2008-04-08 |
1851533772 | Meeker Marshall Shoes | Durable Medical Equipment & Medical Supplies | 220 Millcreek Plz, 2070 Interchange Road, Erie, PA 16565-1102 | 2009-03-25 |
1003084864 | Mckesson Patient Care Solutions Inc. | Durable Medical Equipment & Medical Supplies | 14 Millcreek Sq, Erie, PA 16565-1203 | 2008-02-14 |
1528100419 | Thomas R Kelley | Optometrist | 5800 Peach St, Erie, PA 16565-1601 | 2007-02-13 |
Find all providers in zip 16565 |
Taxonomy Code | 152W00000X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
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 systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306445408 | Susan Ross Od Professional Corp | Optometrist | 128 W 12th St Ste 201, Erie, PA 16501-1750 | 2020-10-20 |
1427521665 | Landa Vision, Inc. | Optometrist | 5158 Peach St Unit 20b, Erie, PA 16509-2489 | 2019-01-10 |
1568898690 | West Penn Advance Vision Care & Optical LLC | Optometrist | 2576 W 8th St, Erie, PA 16505-4416 | 2013-09-20 |
1780946624 | Ashley N Harris | Optometrist | 560 Millcreek Mall # 400, Erie, PA 16565-0502 | 2012-06-15 |
1215168877 | Jessica Marie Goller | Optometrist | 3279 West 26th St, Erie, PA 16506 | 2009-07-30 |
1558506402 | Robert Ryan Powell | Optometrist | 893 Shuttleworth Dr, Erie, CO 80516-7242 | 2008-12-06 |
1154505063 | Visual Fx Vision Centers, LLC | Optometrist | 7000 Peach Street, Erie, PA 16509 | 2007-12-27 |
1912042466 | Douglas W Kennedy | Optometrist | 615 Mitchell Way Ste 103, Erie, CO 80516-5438 | 2007-02-21 |
1790843977 | Jill Diane Cuthbertson | Optometrist | 1344 W 38th St, Erie, PA 16508-2462 | 2006-12-04 |
1427126267 | Visioncare Laser Centers of Erie | Optometrist | 1909 West 8th Street, Erie, PA 16505-4936 | 2006-12-01 |
Find all providers in ERIE |
Please comment or provide details below to improve the information on DR. RENEE LYNN PETERSON.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.