Dr. Jay D Petersma
Optometrist Optomitrist - Corneal and Contact Lenses
5501 Nw 86th St Suite 500
Johnston
, Iowa 50131-1816
Dr. Jay D Petersma
Optometrist Optomitrist - Corneal and Contact Lenses
5501 Nw 86th St Suite 500
Johnston
, Iowa 50131-1816
(515) 270-6463
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About
Features
Specialties
- Optometrist
- Optomitrist - Corneal and Contact Lenses
Languages spoken
- English
Location
First Address
- Dr. Jay D Petersma
- 5501 Nw 86th St Suite 500
- Johnston, IA
- Zip : 50131-1816
- Fax : (515) 270-6463
- Phone : (515) 270-0494
Second Address
- Dr. Jay D Petersma
- 5501 Nw 86th St Suite 500
- Johnston, IA
- Zip : 50131-1816
- Fax : (515) 270-6463
- Phone : (515) 270-0494
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FAQs
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Where is Dr. Jay D Petersma ’s practice located?
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Is Dr. Jay D Petersma a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 01861 | IA |
| N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 01861 | IA |
National Provider Identifier
| NPI | 1326148933 |
|---|---|
| Provider Name | Dr. Jay D Petersma |
| First Address | Johnston, IA 50131-1816 |
| Second Address | Johnston, IA 50131-1816 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/09/2006 |
| Last Update Date | 11/01/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 18665 | MIDLANDS CHOICE (01) | IA |
| 26387 | WELLMARK (01) | IA |
| T01492 | (02) | IA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.