Michael S Peterson is a Salt Lake City, Utah based male Optometrist with 19 years of experience in Optometry. He completed his graduation from Southern California College Of Optometry in 2005. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Michael S Peterson is ODP100079 for Optometry in Idaho.
Michael S Peterson examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Michael S Peterson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Optometry |
| Credentials: | O.D. |
| Experience: | 19+ years |
| Medical School Attended: | Southern California College Of Optometry |
| Graduation Year: | 2005 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1553 E 3080 S, Salt Lake City,
Utah, 84106-3419 |
| Phone: | 801-879-8721 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 0345278131 |
| Enrollment ID: | I20090612000171 |
| NPI Number: | 1528020955 |
| NPI Enumeration Date: | 03 Apr, 2006 |
| NPI Last Update On: | 07 Jul, 2014 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michael S Peterson are as mentioned below.
| License Number | Specialization | State | Status | |
| ODP100079 | Optometry | Idaho | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Michael S Peterson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 807202700 | Medicaid | Idaho | |
| 000010151065 | Other | Idaho | REGENCE BLUE SHIELD OF ID |
| V6861 | Other | Idaho | BLUE CROSS OF IDAHO |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 177 W 12300 S, Ste 111
Draper, Utah |
| Zip: | 84020-9816 |
| Phone Number: | 801-679-9177 |
| Fax Number: | 801-878-7674 |
Patients can reach Michael S Peterson at
1553 E 3080 S, Salt Lake City, Utah or can
call to book an appointment on 801-879-8721. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.