Dr Cody Peterson, OD is a
Optometrist based in Mountain Home Afb, Idaho. Dr Cody Peterson is licensed to practice in Idaho (license number ODP-100285) and his current practice location is
90 Hope Dr Bldg 6000, Mountain Home Afb, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 828-7250.
NPI number for Dr Cody Peterson is 1922441245 and his current mailing address is 90 Hope Dr Bldg 6000, Mountain Home Afb, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922441245.
Healthcare Provider's Profile
| Full Name | Dr Cody Peterson |
|---|
| Gender | Male |
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| Speciality | Optometrist |
|---|
| Location | 90 Hope Dr Bldg 6000, Mountain Home Afb, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1922441245
- Provider Enumeration Date: 04/17/2013
- Last Update Date: 07/19/2024
Medical Identifiers
Medical identifiers for Dr Cody Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922441245 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | ODP-100285 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Cody Peterson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Cody Peterson, OD
90 Hope Dr Bldg 6000,
Mountain Home Afb, ID 83648-1062
Ph: (208) 828-7250 | Dr Cody Peterson, OD
90 Hope Dr Bldg 6000,
Mountain Home Afb, ID 83648-1062
Ph: (208) 828-7250 |
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