DR. BRIAN MICHAEL PETERSON (NPI# 1477987741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477987741 |
| Entity Type | Individual |
| Full Name | DR. BRIAN MICHAEL PETERSON |
| Credential | O.D. |
| Practice Address |
5517 S Williamson Blvd Ste 310 Port Orange FL 32128-8310 |
| Practice Telephone | 3867601896 |
| Practice Fax Number | 3867884932 |
| Mailing Telephone | 3867601896 |
| Mailing Fax Number | 3867884932 |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2016-06-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPC 4830 | FL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FLORIDA LICENSE NUMBER | OPC 4830 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194984070 | Brian Carl Peterson | Physical Therapy Assistant | 10439 64th Ln Ne, Albertville, MN 55301-3533 | 2008-06-05 |
| 1437328267 | Brian Christopher Peterson | Case Manager/Care Coordinator | 2485 Roosevelt Blvd, Eugene, OR 97402-2562 | 2008-02-26 |
| 1316158777 | Brian Eugene Peterson | Physical Therapy Assistant | 12139 S. Williams St, Dunellon, FL 34431 | 2007-05-25 |
| 1427174515 | Brian Peterson | Physical Therapist | 907 E Briggs Ave, Fairfield, IA 52556-3007 | 2007-03-21 |
| 1225119621 | Brian Jared Peterson | Emergency Medicine | 1730 Alpine Blvd Ste 109b, Alpine, CA 91901-3877 | 2006-10-18 |
| 1306865027 | Brian K Peterson | Physical Therapist | 41 E. 1140 N. Suite A, Saratoga Springs, UT 84045 | 2006-07-19 |
| 1962434951 | Brian Lee Peterson | Pathology | 933 W Highland Ave, Milwaukee, WI 53233-1445 | 2006-07-07 |
| 1275093676 | Brian Peterson | Student in an Organized Health Care Education/Training Program | 1215 Lee St, Charlottesville, VA 22908-0816 | 2019-03-21 |
| 1023401882 | Brian Peterson | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2015-03-17 |
| 1144655937 | Brian L Peterson | Physical Therapist | 107 E Highland Dr, Oconto Falls, WI 54154-1002 | 2013-09-11 |
| Street Address |
5517 S WILLIAMSON BLVD STE 310 |
| City | PORT ORANGE |
| State | FL |
| Zip Code | 32128-8310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265764906 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 5517 S Williamson Blvd, Ste. 310, Port Orange, FL 32128 | 2010-02-05 |
| 1801173091 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 5517 S Williamson Blvd, Suite 310, Port Orange, FL 32128-8310 | 2011-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487209979 | Encore Hearing Consultants, LLC | Hearing Instrument Specialist | 5889 S. Williamson Blvd, Suite 1409, Port Orange, FL 32128 | 2019-08-02 |
| 1346768835 | T'neill Treherne | Occupational Therapist | 5535 S. Williamson Blvd Suite 774, Port Orange, FL 32128 | 2017-09-05 |
| 1881055440 | Jose Ortiz | Chiropractor | 6315 S Williamson Blvd Apt 132, Port Orange, FL 32128 | 2016-03-10 |
| 1376915132 | Comfortable Care Dental Health Professionals, Pa | Dentist | 5445 S. Williamson Blvd, Port Orange, FL 32128 | 2015-10-20 |
| 1508289570 | Jeffrey Barnes | Physical Therapist | 5535 S. Williamson B;vd, Port Orange, FL 32128 | 2014-01-28 |
| 1881025542 | Rachael Hall | Physical Therapist | 55335 S Williamson Blvd, Suite 774, Port Orange, FL 32128 | 2013-12-06 |
| 1154765840 | Daniel Fleishman | Counselor | 6709 Ferri Circle, Port Orange, FL 32128 | 2013-04-24 |
| 1215282629 | Jeffrey Mclaughlin | Physical Therapist | 5535 S. Williamson Blvd., Ste 774, Port Orange, FL 32128 | 2012-07-23 |
| 1710266812 | Steven Gerald Daniels | Chiropractor | 1807 Creekwater Blvd, Port Orange, FL 32128 | 2011-08-08 |
| 1639489883 | Dr. Michael Hay and Associates, LLC | Optometrist | 5517 S. Williamson Blvd., #310, Port Orange, FL 32128 | 2010-10-20 |
| Find all providers in zip 32128 | ||||
| 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 |
|---|---|---|---|---|
| 1639489883 | Dr. Michael Hay and Associates, LLC | Optometrist | 5517 S. Williamson Blvd., #310, Port Orange, FL 32128 | 2010-10-20 |
| 1043462914 | Blahnik Eye Care Inc | Optometrist | 3740 S Ridgewood Ave, Unit 103, Port Orange, FL 32129-3510 | 2008-10-22 |
| 1891958963 | Broome Vision Inc. | Optometrist | 3781o S Nova Rd Ste O, Port Orange, FL 32129-4233 | 2008-07-08 |
| 1598984676 | Total Vision of Port Orange, Inc. | Optometrist | 5820 S Williamson Blvd Ste 106, Port Orange, FL 32128-6400 | 2007-04-25 |
| 1912097353 | Daytona Vision Center Inc | Optometrist | 733 Dunlawton Avenue, Suite 101, Port Orange, FL 32127 | 2006-10-14 |
| 1982631792 | Frank Anthony Broome Jr. | Optometrist | 3781 S Nova Rd Ste O, Port Orange, FL 32129-4285 | 2006-06-27 |
| 1265488134 | Gregory T Kipp | Optometrist | 3820 S Nova Rd, Port Orange, FL 32127-4949 | 2006-05-25 |
| 1619927118 | Suzette Ann Blahnik | Optometrist | 3740 S Ridgewood Ave Unit 103, Port Orange, FL 32129-3519 | 2006-05-12 |
| 1265424188 | Kirsten Reed Wilgers | Optometrist | 5820 Williamson Blvd, Suite 106, Port Orange, FL 32128-6100 | 2005-08-17 |
| 1992258461 | Robert Cyrus Phyfer | Optometrist | 1771 Dunlawton Ave, Port Orange, FL 32127-4757 | 2016-08-01 |
| Find all providers in PORT ORANGE | ||||
| City | PORT ORANGE |
| Zip Code | 32128 |
Please comment or provide details below to improve the information on DR. BRIAN MICHAEL 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.