| Jason Trent Peterson, OD | |
|
4408 E Pony Express Pkwy Ste A, Eagle Mountain, UT 84005-5564 | |
| (801) 789-3937 | |
| (801) 228-2420 |
| Full Name | Jason Trent Peterson |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 9 Years |
| Location | 4408 E Pony Express Pkwy Ste A, Eagle Mountain, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760837066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 10382337-9934 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eagle Vision | 0547488371 | 2 |
| Provider Name | Eagle Vision |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1750791943 PECOS PAC ID: 0547488371 Enrollment ID: O20140820000888 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Trent Peterson, OD 7732 N Red Oak Rd, Eagle Mountain, UT 84005-4303 Ph: (801) 644-3046 | Jason Trent Peterson, OD 4408 E Pony Express Pkwy Ste A, Eagle Mountain, UT 84005-5564 Ph: (801) 789-3937 |
Shoptikal Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1307 E Eagle Mountain Blvd, #120, Eagle Mountain, UT 84043 Phone: 920-429-2211 | |
Cedar Valley Eyecare, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4317 N Pony Express Pkwy, Eagle Mountain, UT 84005 Phone: 801-768-4100 Fax: 801-768-0600 | |
Dr. Tyler J. Barney, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4408 E Pony Express Pkwy Ste A, Eagle Mountain, UT 84005 Phone: 801-789-3937 Fax: 801-228-2420 | |
Eagle Vision Optometrist Medicare: Medicare Enrolled Practice Location: 4408 E Pony Express Pkwy Ste A, Eagle Mountain, UT 84005 Phone: 801-789-3937 Fax: 801-228-2420 |