DR. DAVID JAMES PETERSON O.D.
NPI 1164411930
Optometrist in Fairbanks, AK

Q: What is David Peterson's NPI number?

The NPI number for David Peterson is 1164411930. It was assigned to this individual provider in the NPPES registry on October 14, 2005.

Q: What is David Peterson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for David Peterson was last updated on November 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since October 14, 2005

116 MINNIE ST, FAIRBANKS, AK 99701(907) 456-7760(907) 328-1867 Get Directions Write a Review

NPPES record last updated: November 29, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. David James Peterson O.d. NPPES

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

DR. DAVID JAMES PETERSON O.D. (NPI 1164411930) is an individual optometrist in Fairbanks, Alaska, licensed in Minnesota (2496) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1164411930

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. DAVID JAMES PETERSONCredential: O.D.

Location Address116 MINNIE STFairbanks, AK 99701-3006

Mailing Address116 Minnie StFairbanks, AK 99701-3006 · (907) 456-7760 · Fax (907) 328-1867

Phone(907) 456-7760

Fax(907) 328-1867

Sole ProprietorNo

Enumeration DateOctober 14, 2005

Last NPPES UpdateNovember 29, 2016

✔ NPI 1164411930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in MN · 2496✔ Licensed in AK · 358

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.

116 MINNIE ST, Fairbanks, AK 99701

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Other Providers at the Same Location NPPES 14

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

ANGELA LYNN HAWK

Technician/Technologist (Optician)