Dr. Brian Michael Peterson is a Palm Coast, Florida based male Optometrist with 11 years of experience in Optometry. He completed his graduation from Other in 2013. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Brian Michael Peterson is OPC 4830 for Optometry in Florida. Dr. Brian Michael 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:
Dr. Brian Michael 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:
11+ years
Medical School Attended:
Other
Graduation Year:
2013
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
15 Cypress Branch Way Ste 205, Palm Coast, Florida, 32164-8414
Phone:
386-445-1880
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:
4880909324
Enrollment ID:
I20150813009811
NPI Number:
1477987741
NPI Enumeration Date:
22 Aug, 2013
NPI Last Update On:
30 Sep, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Brian Michael Peterson are as mentioned below.
License Number
Specialization
State
Status
OPC 4830
Optometry
Florida
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Brian Michael Peterson has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Total Vision Of Port Orange, Inc. (9830166255)
3
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Brian Michael Peterson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
OPC 4830
Other
Florida
FLORIDA LICENSE NUMBER
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1950 Old Gallows Rd Ste 520, Vienna, Virginia
Zip:
22182-3970
Phone Number:
703-847-8899
Fax Number:
571-223-6780
Patients can reach Dr. Brian Michael Peterson at 15 Cypress Branch Way Ste 205, Palm Coast, Florida or can call to book an appointment on 386-445-1880. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.