Dr Kimberly Peterson, OD in Rialto, CA - Medicare Optometry Provider

Dr Kimberly Peterson, OD is a medicare enrolled "Optometrist" provider in Rialto, California. She went to Southern California College Of Optometry and graduated in 1998 and has 26 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Kimberly Peterson, O.d., Inc. and her current practice location is 1850 N Riverside Ave, Suite 100, Rialto, California. You can reach out to her office (for appointments etc.) via phone at (909) 421-3030.

Dr Kimberly Peterson is licensed to practice in California (license number OP11094T) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1922141175.

Contact Information

	Dr Kimberly Peterson, OD
	1850 N Riverside Ave, Suite 100, Rialto, CA 92376-8071
	(909) 421-3030
	(909) 421-3059

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kimberly Peterson
Gender	Female
Speciality	Optometry
Experience	26 Years
Location	1850 N Riverside Ave, Rialto, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kimberly Peterson attended and graduated from Southern California College Of Optometry in 1998

NPI Data:

NPI Number: 1922141175
Provider Enumeration Date: 02/15/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9436273893
Enrollment ID: I20100908000253

Medical Identifiers

Medical identifiers for Dr Kimberly Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922141175	NPI	-	NPPES
SD0110940	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OP11094T (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kimberly Peterson, O.d., Inc.	6305960766	2

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kimberly Peterson allows following entities to bill medicare on her behalf.

Provider Name	Kimberly Peterson, O.d., Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1003120452 PECOS PAC ID: 6305960766 Enrollment ID: O20100908000173

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 Kimberly Peterson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Kimberly Peterson, OD 1850 N Riverside Ave, Suite 100, Rialto, CA 92376-8071 Ph: (909) 421-3030	Dr Kimberly Peterson, OD 1850 N Riverside Ave, Suite 100, Rialto, CA 92376-8071 Ph: (909) 421-3030

Reviews and Comments

Optometrist in Rialto, CA

Kimberly Peterson, O.d., Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 1850 N Riverside Ave, Suite 100, Rialto, CA 92376 Phone: 909-421-3030 Fax: 909-421-3059
Andrew Thien Ngo, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1175 Renaissance Pkwy Ste 1050, Rialto, CA 92376 Phone: 623-486-1888
Dr. Phuong To, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1850 N Riverside Ave, Suite 100, Rialto, CA 92376 Phone: 909-421-3030 Fax: 909-421-3059
Dennis Wong, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1366 S Riverside Ave, Rialto, CA 92376 Phone: 909-421-2020 Fax: 909-285-9586
Gary Melvin Freestone, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1850 N Riverside Ave, Suite 220, Rialto, CA 92376 Phone: 909-875-1144 Fax: 909-875-0640
Carol Lafradez, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1850 N Riverside Ave Ste 100, Rialto, CA 92376 Phone: 909-421-3030
Franchesca Sia, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1175 Renaissance Pkwy Ste 1050, Rialto, CA 92376 Phone: 909-546-3465

Dr Kimberly Peterson, OD - Medicare Optometrist in Rialto, CA