Individual
DR. GREGG WILLIAM PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1600 6TH AVE, SUITE 113, YORK, PA 17403-2626
(717) 718-2393
(717) 718-7150
Mailing address
1600 6TH AVE, SUITE 113, YORK, PA 17403-2626
(717) 718-2393
(717) 718-7150
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG002039
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019584700001
—
PA
Enumeration date
06/10/2006
Last updated
05/01/2012
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