Leon Peterson, O.D

NPI 1013943828 · on the registry since 2006

Practice

Address: 501 S Woodruff Ave
Idaho Falls, ID 83401
Phone: (208) 522-6271
Fax: (208) 522-7217
Organisation at this address: A Joint Venture
Gary J Lattimore
For Your Eyes Only, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Optometrist
152W00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-03-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho