Michael Scott Peterson, O.D. Valid NPI
Individual provider · Low Vision Rehabilitation Optometrist · Richmond, VA
- NPI
- 1437177656
- Type
- Individual (Type 1)
- Primary specialty
- Low Vision Rehabilitation Optometrist (Optometrist)
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152WL0500X
- License number
- 0618002288 (VA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-07-17
- Last updated
- 2020-09-24
Practice location
1201 Broad Rock Blvd
Richmond, VA 23249-0001
(804) 675-5000