Jason Petersen, O.D.

NPI #1407235948 in Sandpoint, Idaho

Provider Information

NPI Number: 1407235948
Entity Type: Individual
Name: Jason Petersen, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: May 28, 2015
Last Updated: May 6, 2020

Practice Location

Address: 307 S 1ST AVE
City: Sandpoint
State: Idaho
ZIP Code: 83864-1201
Phone: (208) 263-8501

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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