Individual
DR. BRIAN MICHAEL PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
15 CYPRESS BRANCH WAY STE 205, PALM COAST, FL 32164-8414
(386) 445-1880
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 4830
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPC 4830
FLORIDA LICENSE NUMBER
FL
Enumeration date
08/22/2013
Last updated
09/30/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us