Blake Peterson, OD

NPI 1942200159 · on the registry since 2005

Practice

Address: 2020 Keith St Nw
Cleveland, TN 37311
Phone: (423) 472-6517
Fax: (423) 476-8578
Organisation at this address: Dennis Clifford Ford Md
Walter F Peterson Od Pc
Ford Center For Pain Management
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: Optometrist
152W00000X
Licence states on file: TN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-12-06

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 Tennessee