Individual
BROOKE ELIZABETH PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1116 SW US HIGHWAY 40, BLUE SPRINGS, MO 64015-4610
(816) 229-2020
Mailing address
111 E 4TH ST STE 440, ALTON, IL 62002-6206
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2025024660
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/24/2025
Last updated
07/04/2025
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