DR. BLAKE PETERSON, OD

Optometrist

Active Individual
NPI: 1942200159

Practice Address

2020 KEITH ST NW
Cleveland, TN 37311

Phone: (423) 472-6517

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes ODT1031 (TN)

Frequently Asked Questions

NPI 1942200159 is the National Provider Identifier for DR. BLAKE PETERSON, OD, a Optometrist provider located in Cleveland, TN. This NPI was enumerated on July 29, 2005.
DR. BLAKE PETERSON, OD practices at 2020 KEITH ST NW, Cleveland, TN 37311.

Quick Facts

NPI
1942200159
Type
Individual
Enumerated
Jul 29, 2005
Last Updated
Dec 6, 2007

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