KIMBERLY PETERSON, O.D., INC.
NPI 1003120452
Optometrist in Rialto, CA

Q: What is Kimberly Peterson, O.D., Inc.'s NPI number?

The NPI number for Kimberly Peterson, O.D., Inc. is 1003120452. It was assigned to this organization in the NPPES registry on July 27, 2010.

Q: What is Kimberly Peterson, O.D., Inc.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since July 27, 2010

1850 N RIVERSIDE AVE, SUITE 100, RIALTO, CA 92376(909) 421-3030(909) 421-3059 Get Directions Write a Review

NPPES record last updated: July 27, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kimberly Peterson, O.d., Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY PETERSON, O.D., INC. (NPI 1003120452) is a healthcare organization registered as an optometrist in Rialto, California and active in the NPI registry since July 2010. The organization lists Kimberly Peterson, Owner, as its authorized official.

NPPES Registry Identity

NPI1003120452

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameKIMBERLY PETERSON, O.D., INC.

Location Address1850 N RIVERSIDE AVE, SUITE 100Rialto, CA 92376-8071

Mailing Address1850 N Riverside Ave, Suite 100Rialto, CA 92376-8071 · (909) 421-3030 · Fax (909) 421-3059

Phone(909) 421-3030

Fax(909) 421-3059

Organization SubpartNo

Authorized OfficialKimberly PetersonOwner · (909) 421-3030

Enumeration DateJuly 27, 2010

✔ NPI 1003120452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in CA · 11094T

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1850 N RIVERSIDE AVE, Rialto, CA 92376

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROGELIO TAN TOH M.D.

Internal Medicine

1850 N RIVERSIDE AVE, SUITE 240
RIALTO, CA 92376

San Bernardino County (909) 421-2700

DELFIN LEONARDO DANO MD

Pediatrics

1850 N RIVERSIDE AVE, SUITE 210
RIALTO, CA 92376

San Bernardino County (909) 562-0012

HEDYEH MOHAJERIN GOLSHAN M.D.

Internal Medicine

1850 N RIVERSIDE AVE, SUITE 230
RIALTO, CA 92376

San Bernardino County (909) 875-1199

DR. PHUONG TO O.D.

Optometrist

1850 N RIVERSIDE AVE, SUITE 100
RIALTO, CA 92376

San Bernardino County (909) 421-3030

PINNACLE MEDICAL GROUP, INC.

Family Medicine

1850 N RIVERSIDE AVE
RIALTO, CA 92376

San Bernardino County (909) 421-2700

GARY MELVIN FREESTONE OD

Optometrist

1850 N RIVERSIDE AVE, SUITE 220
RIALTO, CA 92376

San Bernardino County (909) 875-1144

THE MAVEN GROUP INC.

Obstetrics & Gynecology

1850 N RIVERSIDE AVE
RIALTO, CA 92376

San Bernardino County (909) 787-1987

NAUZ HASSANSHAHI OD

Optometrist

1850 N RIVERSIDE AVE, STE 220
RIALTO, CA 92376

San Bernardino County (909) 875-1144

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Peterson, O.D., Inc.'s NPI number?

The NPI number for Kimberly Peterson, O.D., Inc. is 1003120452. It was assigned to this organization in the NPPES registry on July 27, 2010.

Where is Kimberly Peterson, O.D., Inc. located?

Kimberly Peterson, O.D., Inc. is located at 1850 N Riverside Ave Suite 100, Rialto, CA 92376. The listed phone number is (909) 421-3030.

What is Kimberly Peterson, O.D., Inc.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

What insurance does Kimberly Peterson, O.D., Inc. accept?

Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Kimberly Peterson, O.D., Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Peterson, O.D., Inc. was last updated on July 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.