Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATHEW PETERSEN, ABOC
ActiveMATHEW PETERSEN, ABOC is a Optician, Dispensing healthcare provider located in SANDY, Utah. NPI 1427467208 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · SANDY, UT
Registration Details
- NPI Number
- 1427467208
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 6, 2014 (12.039477241852 yrs)
- Last Updated
- Dec 8, 2021
Practice Information
- Address
-
9450 S 1300 ESANDY, UT, 840945555Browse UT providers · Browse ZIP 84094
- Phone
- 8015766433
- Fax
- 8015765643
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.