Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TRAVIS ANTHONY PETERSEN, BA, MFA
Active Sole ProprietorOcularist · LEHI, UT
Registration Details
- NPI Number
- 1962257949
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 22, 2024 (2.0015264635051 yrs)
- Last Updated
- Aug 26, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
3305 W MAYFLOWER WAY STE 4LEHI, UT, 840482961Browse UT providers · Browse ZIP 84048
- Phone
- 8332089009
- Fax
- 8666801322
- Primary Specialty
-
Ocularist
156FX1700X
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.