Individual
OWEN JOSEPH PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
801 E 233RD ST, BRONX, NY 10466-3203
(347) 603-7125
(347) 603-7127
Mailing address
801 E 233RD ST, BRONX, NY 10466-3203
(347) 603-7125
(347) 603-7127
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV6250
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02078146
—
NY
Enumeration date
09/24/2006
Last updated
07/08/2007
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