STEVEN JOSEPH PETERSON (NPI# 1689751885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689751885 |
| Entity Type | Individual |
| Full Name | STEVEN JOSEPH PETERSON |
| Credential | OD |
| Practice Address |
505 State Street Tracy MN 56175-1539 |
| Practice Telephone | 5076293230 |
| Practice Fax Number | 5076293230 |
| Mailing Telephone | 5076293230 |
| Mailing Fax Number | 5076293230 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 2101 | WI | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 2056 | MN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE PLUS | 3C276PB | 01 |
| MN | 697823100 | 05 | |
| MN | PREFERRED CHOICES | 898861020124 | 01 |
| MN | UCARE | 112984 | 01 |
| MN | BCBS | 43233PB | 01 |
| MN | MEDICARE RAILROAD | 410011573 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992144497 | Steven Peterson | Dentist | 2203 W. University Dr, Denton, TX 76201 | 2013-06-18 |
| 1083774897 | Steven H Peterson | Specialist | 691 Pauline Ct, Sonora, CA 95370-5216 | 2006-12-11 |
| 1164599791 | Steven D. Peterson | Dentist | 202 S Gammon Rd, Ste. 150, Madison, WI 53717-1400 | 2006-11-29 |
| 1891719829 | Steven Peterson | Dentist | 3001 Henderson Dr Ste F, Cheyenne, WY 82001-5840 | 2006-07-26 |
| 1730113317 | Steven Warren Peterson | Surgery | 1315 Waters Edge Dr, Suite # 107, Granbury, TX 76048-1300 | 2006-07-10 |
| 1659331320 | Steven Peterson | Optometrist | 7090 Parkway Dr, La Mesa, CA 91942-1596 | 2006-03-25 |
| 1295737781 | Steven Lamar Peterson I | Chiropractor | 7705 Wadsworth Blvd, Ste. G, Arvada, CO 80003-2144 | 2005-08-15 |
| 1942638192 | Steven Peterson | Counselor | 995 E 1100 N, American Fork, UT 84003-3226 | 2013-10-25 |
| 1639417124 | Steven K Peterson | Physician Assistant | 704 N 3rd St, Plainview, NE 68769-2047 | 2013-01-18 |
| 1306130059 | Steven Michael Peterson | Emergency Medicine | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2011-05-29 |
| Street Address |
505 STATE STREET |
| City | TRACY |
| State | MN |
| Zip Code | 56175-1539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659426658 | Pbr Optometrists Ltd of Tracy | Optometrist | 505 State Street, Tracy, MN 56175-1539 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508368630 | Kong Meng Yang | Home Health | 600 Greenwood Ave Lot 26, Tracy, MN 56175 | 2018-03-05 |
| 1073955902 | Dean A Lichty | Pharmacist | 48 Owanla Lane, Tracy, MN 56175 | 2013-07-19 |
| 1598243321 | Kortney Marie Krick | Nurse Practitioner | 249 5th St E, Tracy, MN 56175 | 2018-08-02 |
| 1578171138 | Samantha Anita Boeck | Pharmacist | 1095 Morgan St, Tracy, MN 56175-1037 | 2020-07-20 |
| 1730162918 | Tracy Nursing Home Inc | Skilled Nursing Facility | 487 2nd St, Tracy, MN 56175-1207 | 2005-11-22 |
| 1548708175 | Lewis Family Drug, LLC | Pharmacy | 1095 Morgan St, Tracy, MN 56175-1211 | 2017-02-02 |
| 1619202363 | Mark Seager | Durable Medical Equipment & Medical Supplies | 163 3rd St, Tracy, MN 56175-1211 | 2009-10-14 |
| 1255852745 | Zachariah Dale Iverson | Pharmacist | 131 3rd St, Tracy, MN 56175-1211 | 2017-07-05 |
| 1861679771 | John's Rx Drug, Inc | Pharmacy | 131 3rd St, Tracy, MN 56175-1211 | 2008-01-23 |
| 1457488769 | John's Rx Drug, Inc. | Pharmacist | 131 3rd St, Tracy, MN 56175-1211 | 2007-02-27 |
| Find all providers in zip 56175 | ||||
| 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 |
|---|---|---|---|---|
| 1477108421 | Neelam Kaur Thiara | Optometrist | 52 Junior Harrington Way, Tracy, CA 95376-1303 | 2019-08-07 |
| 1407139835 | Jeffrey Charles Holtz | Optometrist | 2495 Monroe St, Tracy, CA 95376-8616 | 2011-09-21 |
| 1699894774 | Eaton Optometric Group | Optometrist | 4598 S Tracy Blvd Ste 130, Tracy, CA 95377-8107 | 2007-03-28 |
| 1245396456 | Pritpal Janda | Optometrist | 2417 Naglee Rd, Tracy, CA 95304-7324 | 2006-12-29 |
| 1134133929 | David Charles Moline | Optometrist | 36 W 10th Street, Tracy, CA 95376 | 2006-07-28 |
| 1497733729 | Brian Michael Yee | Optometrist | 36 W 10th St, Tracy, CA 95376-3902 | 2006-01-06 |
| 1689214900 | Jessica Siu | Optometrist | 2104 W Grant Line Rd, Tracy, CA 95377-7309 | 2020-01-14 |
| 1134763147 | Melanie Cadavos | Optometrist | 3010 W Grant Line Rd, Tracy, CA 95304-9402 | 2019-11-01 |
| 1194123182 | Eaton Optometric Group, Inc. | Optometrist | 4598 S Tracy Blvd, Suite 130, Tracy, CA 95377-8107 | 2014-12-08 |
| 1376852459 | Gina Hendrickson | Optometrist | 505 State St, Tracy, MN 56175-1539 | 2010-10-06 |
| Find all providers in TRACY | ||||
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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.