Dr. Kevin C. Peterson
Optometrist
1845 Lockeway Dr Suite 401
Alpharetta
, Georgia 30004-5936
Dr. Kevin C. Peterson
Optometrist
1845 Lockeway Dr Suite 401
Alpharetta
, Georgia 30004-5936
(770) 664-5580
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Kevin C. Peterson
- 1845 Lockeway Dr Suite 401
- Alpharetta, GA
- Zip : 30004-5936
- Phone : (770) 664-5580
Second Address
- Dr. Kevin C. Peterson
- 1845 Lockeway Dr Suite 401
- Alpharetta, GA
- Zip : 30004-5936
- Phone : (770) 664-5580
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1697 | GA |
National Provider Identifier
| NPI | 1013089283 |
|---|---|
| Provider Name | Dr. Kevin C. Peterson |
| First Address | Alpharetta, GA 30004-5936 |
| Second Address | Alpharetta, GA 30004-5936 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/11/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U72501 | (02) | GA |
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.