Individual
DR. LUKE TYLER PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4101 CAMPUS RIDGE RD, MATTHEWS, NC 28105-5077
(404) 295-6810
(833) 231-6851
Mailing address
4101 CAMPUS RIDGE RD, MATTHEWS, NC 28105-5077
(404) 295-6810
(833) 231-6851
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
072079
GA
207W00000X
Ophthalmology Physician
Primary
20018-02590
NC
207W00000X
Ophthalmology Physician
23966
MS
207W00000X
Ophthalmology Physician
53018
TN
207W00000X
Ophthalmology Physician
E-9417
AR
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
2018-02590
NC
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
23966
MS
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
E9417
AR
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
MD81655
SC
Other
Enumeration date
04/26/2010
Last updated
03/01/2022
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