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Brayden Petersen, OD
NPI 1932767753 · on the registry since 2019
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 PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Additional practice sites
- 1720 N Hamilton St, Spokane, WA
- 513 E Hastings Rd Ste C, Spokane, WA
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Also registered as
- Optometrist
- Licence states on file
- WA, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-08-08
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