Individual
JOHN D PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2805 S 88TH ST STE 102, OMAHA, NE 68124
(402) 933-5616
(402) 933-6181
Mailing address
7802 DAVENPORT STREET, OMAHA, NE 68114
(402) 397-1815
(402) 397-1286
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
18103
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47082796100
—
NE
Enumeration date
07/25/2006
Last updated
06/21/2018
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