SearchIdaho152W00000X

Jason Petersen, O.D

NPI 1407235948 · on the registry since 2015

Practice

Address
307 S 1st Ave
Sandpoint, ID 83864
Phone
(208) 263-8501
Organisation at this address
Eye Clinic Of Sandpoint Pa
Eye Clinic Of Sandpoint Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-05-06

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