Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON TRENT PETERSON, OD
Active Sole ProprietorJASON TRENT PETERSON, OD is a Optometrist healthcare provider located in EAGLE MOUNTAIN, Utah. NPI 1760837066 is currently active in the NPPES registry. Verify at CMS.
Optometrist · EAGLE MOUNTAIN, UT
Registration Details
- NPI Number
- 1760837066
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 25, 2016 (10.274530723058 yrs)
- Last Updated
- Jun 28, 2021
- License
-
10382337-9934 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4408 E PONY EXPRESS PKWY STE AEAGLE MOUNTAIN, UT, 840055564Browse UT providers · Browse ZIP 84005
- Phone
- 8017893937
- Fax
- 8012282420
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in EAGLE MOUNTAIN, UT
| Name | Credential | NPI |
|---|---|---|
| DR. TYLER J. BARNEY | O.D. | 1528268398 |
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.