Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BLAKE ALLEN PETERSON, OD
ActiveDR. BLAKE ALLEN PETERSON, OD is a Optometrist healthcare provider located in CLEVELAND, Tennessee. NPI 1942200159 is currently active in the NPPES registry. Verify at CMS.
Optometrist · CLEVELAND, TN
Registration Details
- NPI Number
- 1942200159
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 29, 2005 (21.028865873395 yrs)
- Last Updated
- Dec 6, 2007
- License
-
ODT1031 (TN)
Practice Information
- Address
-
2020 KEITH ST NWCLEVELAND, TN, 373111351Browse TN providers · Browse ZIP 37311
- Phone
- 4234726517
- Fax
- 4234768578
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in CLEVELAND, TN
| Name | Credential | NPI |
|---|---|---|
| DR. WALTER F PETERSON | OD | 1649270703 |
| LORI HUSKINS BALMER | OD | 1124062856 |
| STEPHEN BENCHO JR. | OD | 1679614846 |
| JERRY ALLEN RICHT | OD | 1740321900 |
| DR. ELIZABETH ('KARI') CARRIGAN HUDSON | O.D. | 1467595041 |
| DR. NELSON L THORESEN | OD | 1518088921 |
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.