DAVID B. PETERSEN MD – NPI #1851482202
Ophthalmology

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

DAVID PETERSEN is an ophthalmologist located in SALT LAKE CITY, UT. NPPES has assigned the NPI number 1851482202 to DAVID PETERSEN on September 28, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207W00000X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology.

The NPI profile was last updated on Oct 07, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DAVID PETERSEN below.

NPI Profile for
DAVID B. PETERSEN

NPI Number
1851482202
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DAVID B. PETERSEN
Credentials
MD
Primary location
4400 SO 700 E
100
SALT LAKE CITY, UT 84107
Phone: (801) 264-4450 Fax: (801) 264-4409
Mailing address
4400 SOUTH 700 E
100
SALT LAKE CITY, UT 84107
Phone: (801) 264-4450 Fax: (801) 264-4409
Sole Proprietor
No
Updated
Certification Date
Oct 07, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for DAVID PETERSEN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidUT870544230002
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207W00000X
- Ophthalmology (Primary)
UT 52616771205

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE - Graduated 1998
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
DAVID PETERSEN is affiliated with the following medical group(s):
  • HOSPITAL
    • INTERMOUNTAIN MEDICAL CENTER
      5121 SOUTH COTTONWOOD STREET
      MURRAY, UT 84107

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