Individual
MR. DAVID ORRIN PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
600 S COLORADO ST, LOCKHART, TX 78644-3102
(512) 398-2020
(512) 398-5141
Mailing address
600 S COLORADO ST, LOCKHART, TX 78644-3102
(512) 398-2020
(512) 398-5141
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3378TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E51Z
BLUECROSSBLUESHIELDOFTEXA
TX
Enumeration date
07/14/2005
Last updated
02/03/2015
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