Jason Trent Peterson, OD
NPI #1760837066 in Eagle Mountain, Utah
Provider Information
- NPI Number
- 1760837066
- Entity Type
- Individual
- Name
- Jason Trent Peterson, OD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Optometrist
- Credential
- OD
- Enumeration Date
- Apr 25, 2016
- Last Updated
- Jun 28, 2021
Practice Location
- Address
- 4408 E PONY EXPRESS PKWY STE A
- City
- Eagle Mountain
- State
- Utah
- ZIP Code
- 84005-5564
- Phone
- (801) 789-3937
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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Organizations
| Provider Name | |
|---|---|
| Eagle Vision |
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