| Steven Joseph Peterson, OD | |
|
505 State Street, Tracy, MN 56175-1539 | |
| (507) 629-3230 | |
| (507) 629-3230 |
| Full Name | Steven Joseph Peterson |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 505 State Street, Tracy, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689751885 | NPI | - | NPPES |
| 3C276PB | Other | MN | BLUE PLUS |
| 410011573 | Other | MN | MEDICARE RAILROAD |
| 697823100 | Medicaid | MN | |
| 898861020124 | Other | MN | PREFERRED CHOICES |
| 112984 | Other | MN | UCARE |
| 43233PB | Other | MN | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2056 (Minnesota) | Primary |
| 152W00000X | Optometrist | 2101 (Wisconsin) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Steven Joseph Peterson, OD 505 State Street, Tracy, MN 56175-1539 Ph: (507) 629-3230 | Steven Joseph Peterson, OD 505 State Street, Tracy, MN 56175-1539 Ph: (507) 629-3230 |
Avera Medical Group Optometry Tracy Optometrist Medicare: Medicare Enrolled Practice Location: 505 State St, Tracy, MN 56175 Phone: 507-629-3230 | |
Pbr Optometrists Ltd Of Tracy Optometrist Medicare: Not Enrolled in Medicare Practice Location: 505 State Street, Tracy, MN 56175 Phone: 507-629-3230 Fax: 507-629-3230 |