Michael S Peterson, OD | |
1553 E 3080 S, Salt Lake City, UT 84106-3419 | |
(801) 879-8721 | |
Not Available |
Full Name | Michael S Peterson |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 19 Years |
Location | 1553 E 3080 S, Salt Lake City, 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 |
---|---|---|---|
1528020955 | NPI | - | NPPES |
807202700 | Medicaid | ID | |
000010151065 | Other | ID | REGENCE BLUE SHIELD OF ID |
V6861 | Other | ID | BLUE CROSS OF IDAHO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | ODP100079 (Idaho) | Primary |
Provider Name | Michael S Peterson, Od, Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1942437058 PECOS PAC ID: 3072664572 Enrollment ID: O20090623000571 |
Mailing Address | Practice Location Address |
---|---|
Michael S Peterson, OD 177 W 12300 S, Ste 111, Draper, UT 84020-9816 Ph: (801) 679-9177 | Michael S Peterson, OD 1553 E 3080 S, Salt Lake City, UT 84106-3419 Ph: (801) 879-8721 |
Dr. Michael D Conklin, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 350 Hope Ave, Salt Lake City, UT 84115 Phone: 801-484-8662 Fax: 801-484-8664 | |
Sean Patrick Cushman, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 755 E 3900 S, Salt Lake City, UT 84107 Phone: 801-266-2283 Fax: 801-268-6151 | |
Cori Marie Jones, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 500 Foothill Dr, Salt Lake City, UT 84148 Phone: 316-633-2244 | |
Harlin Optometry, Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 350 Hope Ave, Salt Lake City, UT 84115 Phone: 801-484-8662 | |
Terry M Hansen Od Llc Optometrist Medicare: Medicare Enrolled Practice Location: 2828 W 4700 S, Suite D, Salt Lake City, UT 84118 Phone: 801-966-6201 Fax: 801-966-6609 | |
Mrs. Karri A Buresh, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 250 E 300 S, Berner Eye Clinic, Salt Lake City, UT 84111 Phone: 801-322-0467 Fax: 801-363-6053 | |
Utah Eye Associates Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 160 S 1000 E Ste 330, Salt Lake City, UT 84102 Phone: 267-736-6335 |