NPI 1164411930

David James Peterson, OD

Practitioner Optometrist Fairbanks, AK

Practice location

Address: 116 Minnie St, Fairbanks, AK 99701-3006
Phone: (907) 456-7760
Fax: (907) 328-1867

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2496 (MN)

Other Optometrist providers in Alaska →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 358 (AK)

Registry record

NPI: 1164411930
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Oct 2005
Record last updated: 29 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.