DR. RENEE LYNN PETERSON


Address: 200 Millcreek Plz, Erie, PA 16565-1102
Phone: 8148644858

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist PA OEG000497 PA Eye and Vision Services Providers

Other Provider Identifier

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

Other Providers RENEE PETERSON

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

Office Location

Street Address 200 MILLCREEK PLZ
City ERIE
State PA
Zip Code 16565-1102

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy 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 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]

Providers in the same taxonomy and city

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

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City ERIE
Zip Code 16565

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Dataset Information

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.

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