Individual
DR. SCOTT DAVID PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3988 WASHINGTON BLVD, OGDEN, UT 84403-1826
(801) 621-2883
(801) 334-7930
Mailing address
3988 WASHINGTON BLVD, OGDEN, UT 84403-1826
(801) 621-2883
(801) 334-7930
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
111436-9934
UT
152WC0802X
Corneal and Contact Management Optometrist
111436-9934
UT
152WP0200X
Pediatric Optometrist
111436-9934
UT
Other
Enumeration date
01/25/2006
Last updated
01/24/2023
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