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Organization

PETERSON EYECARE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHAD D PETERSON O.D. (PRESIDENT OPTOMETRIST)
(319) 832-2020
Entity
Organization

Contact information

Practice address
2805 BLAIRS FERRY RD NE, SUITE B, CEDAR RAPIDS, IA 52411
(319) 832-2020
(319) 832-2015
Mailing address
2805 BLAIRS FERRY RD NE, SUITE B, CEDAR RAPIDS, IA 52411
(319) 832-2020
(319) 832-2015

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
02103
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0235770
IA
Enumeration date
05/18/2007
Last updated
02/05/2014
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