DR. BLAKE ALLEN PETERSON (NPI# 1942200159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942200159 |
| Entity Type | Individual |
| Full Name | DR. BLAKE ALLEN PETERSON |
| Credential | OD |
| Practice Address |
2020 Keith St Nw Cleveland TN 37311-1351 |
| Practice Telephone | 4234726517 |
| Practice Fax Number | 4234768578 |
| Mailing Telephone | 4234726517 |
| Mailing Fax Number | 4234768578 |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2007-12-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | ODT1031 | TN | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689027054 | Blake Peterson | Podiatrist | 8130 Hawthorn, Temple, TX 76502 | 2016-07-20 |
| 1962965855 | Blake Peterson | Chiropractor | 1878 W 3600 S, West Valley City, UT 84119-3893 | 2019-04-09 |
| 1821506601 | Blake Richard Peterson | Massage Therapist | 3536 Grove Ave, Richmond, VA 23221-2200 | 2018-01-16 |
| 1043561343 | Blake T Peterson | Nurse Anesthetist, Certified Registered | 406 S 30th Ave, Suite 202, Yakima, WA 98902-3713 | 2012-09-26 |
| 1023379849 | Blake Peterson | Orthopaedic Surgery | 2445 Army Navy Dr, Arlington, VA 22206-2905 | 2012-06-07 |
| Street Address |
2020 KEITH ST NW |
| City | CLEVELAND |
| State | TN |
| Zip Code | 37311-1351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316562804 | Christopher Eugene Muegge | Optometrist | 2020 Keith St Nw, Cleveland, TN 37311-1351 | 2020-06-10 |
| 1962695916 | Walter F Peterson Od PC | Optometrist | 2020 Keith St Nw, Cleveland, TN 37311-1351 | 2007-08-23 |
| 1619009065 | Ford Center for Pain Management | Anesthesiology | 2020 Keith St Nw, Ste C, Cleveland, TN 37311-1351 | 2007-03-12 |
| 1467595041 | Elizabeth ('kari') Carrigan Hudson | Optometrist | 2020 Keith St Nw, Cleveland, TN 37311-1351 | 2007-02-14 |
| 1245241892 | Dennis Clifford Ford Md | Non-Pharmacy Dispensing Site | 2020 Keith St Nw, Ste C, Cleveland, TN 37311-1351 | 2006-08-10 |
| 1063470045 | Dennis C. Ford | Anesthesiology | 2020 Keith St Nw, Ste C, Cleveland, TN 37311-1351 | 2006-05-01 |
| 1649270703 | Walter F Peterson | Optometrist | 2020 Keith St Nw, Cleveland, TN 37311-1351 | 2005-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114433570 | Kirstee Williams | Counselor | 1120 North Ocoee Street, Lee University, Cleveland, TN 37311 | 2017-12-21 |
| 1285070458 | Scott Daniel Pugh | Counselor | 183 1st St Ne, Cleveland, TN 37311 | 2013-05-15 |
| 1407299191 | Bess E Howard | Nurse Practitioner | 2449 Spring Creek Blvd, Ne, Cleveland, TN 37311 | 2013-04-11 |
| 1588913925 | Thomas C Reese | Hearing Instrument Specialist | 60 25th Street Ne, Suite 5, Cleveland, TN 37311 | 2012-08-30 |
| 1932484607 | Southeast Tn Human Resource Agency | Non-emergency Medical Transport (VAN) | 165 Edwards Street Se, Cleveland, TN 37311 | 2011-10-13 |
| 1588956106 | Lee M Radford | Orthopaedic Surgery | 2350 N Ocoee Street, Cleveland, TN 37311 | 2011-05-16 |
| 1124251913 | Mcfarland Group Inc. | Durable Medical Equipment & Medical Supplies | 1300 25th St Nw # 104, Cleveland, TN 37311 | 2009-08-27 |
| 1952554834 | Bradley Cleveland Services Inc | Counselor | 2611 Bower Lane, Cleveland, TN 37311 | 2008-10-23 |
| 1851543151 | Bradley Cleveland Services, Inc | Counselor | 2601 Bower Lane Se, Cleveland, TN 37311 | 2008-10-17 |
| 1306098082 | Kidney Center of Cleveland, LLC | Clinic/Center | 2253 Chambliss Avenue, Cleveland, TN 37311 | 2008-10-14 |
| Find all providers in zip 37311 | ||||
| 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 |
|---|---|---|---|---|
| 1942815832 | National Vision Inc | Optometrist | 210 Paul Huff Pkwy Nw Unit 100, Cleveland, TN 37312-2954 | 2020-09-09 |
| 1700418589 | National Vision Inc | Optometrist | 3497 Steelyard Dr, Cleveland, OH 44109-2385 | 2020-02-10 |
| 1508387283 | Jeffrey Lawrence Rais | Optometrist | 13943 Cedar Rd, Cleveland, OH 44118-3203 | 2017-07-03 |
| 1407383334 | I Care Eyecare LLC | Optometrist | 5546 Keith St. Ne, Walmart Vision Center, Cleveland, TN 37312 | 2017-05-23 |
| 1851749667 | Clarissa Prieto-ayala | Optometrist | 11670 Pinemont Rd, Cleveland, TX 77328-7237 | 2016-06-02 |
| 1467738377 | Dr. Don Robbins Inc. | Optometrist | 514 West Kytle St., Cleveland, GA 30528 | 2011-10-25 |
| 1366757015 | Joseph Keaney | Optometrist | 6204 Brookpark Rd, Cleveland, OH 44129-1218 | 2010-08-18 |
| 1508185729 | Gs Eyecare Inc | Optometrist | 897 S Main St, Cleveland, GA 30528-1458 | 2010-05-27 |
| 1124258991 | Jennifer Pesek | Optometrist | 200 Public Sq Ste 219, Cleveland, OH 44114-2301 | 2009-07-15 |
| 1750533659 | Cleveland Eye Care, Pllc | Optometrist | 3463 Willow Oak Cir Nw, Cleveland, TN 37312-1749 | 2008-10-22 |
| Find all providers in CLEVELAND | ||||
Please comment or provide details below to improve the information on DR. BLAKE ALLEN 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.