JEFFREY PETERSON (NPI# 1578889945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578889945 |
| Entity Type | Individual |
| Full Name | JEFFREY PETERSON |
| Credential | MD |
| Practice Address |
615 Piikoi St Ste 205 Honolulu HI 96814-3139 |
| Mailing Address |
Po Box 31000 Honolulu HI 96849-8295 |
| Practice Telephone | (808) 591-9911 |
| Practice Fax Number | 8085919909 |
| Mailing Telephone | 8085919911 |
| Mailing Fax Number | 8085919909 |
| Enumeration Date | 2010-04-10 |
| Last Update Date | 2019-01-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | MD-18341 | HI | Allopathic & Osteopathic Physicians |
| N | 207WX0009X |
Ophthalmology Specialization: Glaucoma Specialist |
MD-18341 | HI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 24 Kiopaa Pl, Makawao, HI 967688295 | 8085919911 | 8085919909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205328515 | Jeffrey Michael Peterson | Specialist/Technologist | 15534 Calabria Ct, Bakersfield, CA 93314-8055 | 2018-06-01 |
| 1568981314 | Jeffrey Joseph Peterson | Behavior Technician | 162 N 400 E Ste A-105, St. George, UT 84770 | 2017-09-13 |
| 1245630177 | Jeffrey Peterson | Specialist/Technologist | 17735 Xylite St Ne, Ham Lake, MN 55304-4436 | 2014-08-28 |
| 1669689949 | Jeffrey Scott Peterson | Orthopaedic Surgery | 3085 Sparta St, Mcminnville, TN 37110-1364 | 2007-05-17 |
| 1689790917 | Jeffrey Hal Peterson | Chiropractor | 8290 E Broadway Blvd, Tucson, AZ 85710-4006 | 2007-03-21 |
| 1417003567 | Jeffrey Peterson | Psychiatry & Neurology | 2911 E Coronado St, Anaheim, CA 92806 | 2007-01-25 |
| 1740214345 | Jeffrey Scott Peterson | Physical Therapist | 204 S Mckean St, Butler, PA 16001-6012 | 2006-07-10 |
| 1598323271 | Jeffrey Steven Peterson | Anesthesiology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2019-05-29 |
| 1669608899 | Jeffrey S Peterson | Social Worker | 625 W Washington Ave, Madison, WI 53703-2637 | 2009-06-02 |
| 1497832513 | Jeffrey J Peterson | Emergency Medicine | 345 North Smith Avenue, Childrens Hospitals and Clinics of Minnesota Emergency, St Paul, MN 55102 | 2006-11-01 |
| Street Address |
615 PIIKOI ST STE 205 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96814-3139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746478 | Ross Thomas Fujimori Pascual | Pharmacist | 750 Keeaumoku Street, Honolulu, HI 96814 | 2020-10-01 |
| 1336755263 | Hawaikikitelehealth LLC | Counselor | 1108 Auwahi Street, 1506, Honolulu, HI 96814 | 2020-09-16 |
| 1225647324 | Metaphysio Hawaii LLC | Physical Therapist | 1350 South King Street Suite 303, Honolulu, HI 96814 | 2020-07-24 |
| 1114572161 | Alyssa Foster | Social Worker | 1314 S King St Ste 1152, Honolulu, HI 96814 | 2019-08-07 |
| 1871157628 | Ala Moana Walk-in Medical Clinic, Inc | Nurse Practitioner | 410 Atkinson Dr., Level 3, Honolulu, HI 96814 | 2019-04-26 |
| 1528524014 | Regenerative Living Private Duty Inc | Home Health Aide | 1314 South King Street Ste 853, Honolulu, HI 96814 | 2019-02-20 |
| 1295299428 | Kaori Utashiro | Massage Therapist | 1450 Ala Moana Blvd. Suite1227, Honolulu, HI 96814 | 2019-01-22 |
| 1619444569 | Optimized Health LLC | General Practice | 1441 Kapiolani Blvd Ste 1114, #23464, Honolulu, HI 96814 | 2018-10-30 |
| 1356823785 | Tara Yamauchi-lum LLC | Marriage & Family Therapist | 615 Piikoi Street Suite 1109, Honolulu, HI 96814 | 2018-09-01 |
| 1992283980 | Sonia Q. Cosio, D.d.s | Dentist | 1441 Kapiolani Blvd #518, Honolulu, HI 96814 | 2018-08-01 |
| Find all providers in zip 96814 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164048005 | Oculofacial Plastic Surgery of Hawaii Inc | Ophthalmology | 1301 Punchbowl St # 912, Honolulu, HI 96813-2402 | 2020-06-16 |
| 1629534268 | Project Vision Hawaii | Ophthalmology | 1110 Nuuanu Ave, Honolulu, HI 96817-5119 | 2019-02-19 |
| 1285096289 | Jonathan Lo | Ophthalmology | 1441 Kapiolani Blvd Ste 418, Honolulu, HI 96814-4400 | 2016-03-28 |
| 1760820633 | Daniel Sung Choi | Ophthalmology | 1712 Liliha St Ste 400, Honolulu, HI 96817-3114 | 2013-06-12 |
| 1598024077 | Neda Nikpoor | Ophthalmology | 1100 Ward Ave Ste 1000, Honolulu, HI 96814-1620 | 2012-05-03 |
| 1780942722 | Anna Walker Parlin | Ophthalmology | 1329 Lusitana St Ste 502, Honolulu, HI 96813 | 2012-04-27 |
| 1326200320 | Paula Elizabeth Young | Ophthalmology | 1620 Ala Moana Blvd Ste 500, Honolulu, HI 96815-1437 | 2008-06-30 |
| 1942341466 | Lin Eye Surgery & Laser Center LLC | Ophthalmology | 1441 Kapiolani Blvd Ste 1488, Honolulu, HI 96814-4471 | 2007-02-08 |
| 1740326081 | Gregory William Schmidt | Ophthalmology | 1380 Lusitana St Ste 604, Queen's Medical Center, Pob I, Honolulu, HI 96813-2449 | 2007-01-30 |
| 1336217637 | Margaret K. L. Cheung | Ophthalmology | 2228 Liliha St Ste 301, Honolulu, HI 96817-1653 | 2006-12-04 |
| Find all providers in HONOLULU | ||||
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| 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.