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TAMMY HARTNETT PETERSON OD
NPI 1366404386
Optometrist in Coon Rapids, MN

Active since April 05, 2006
9055 SPRINGBROOK DR NW, COON RAPIDS, MN 55433(763) 780-9155 Get Directions Write a Review

NPPES record last updated: October 19, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tammy Hartnett Peterson Od NPPES

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

TAMMY HARTNETT PETERSON OD (NPI 1366404386) is an individual optometrist in Coon Rapids, Minnesota, licensed in Minnesota (1959) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1366404386
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameTAMMY HARTNETT PETERSONCredential: OD
Location Address9055 SPRINGBROOK DR NWCoon Rapids, MN 55433-5841
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-5000
Phone(763) 780-9155
Sole ProprietorNo
Enumeration DateApril 5, 2006
Last NPPES UpdateOctober 19, 2011
✔ NPI 1366404386 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 · 1959✔ Licensed in WI · 1961-035
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.
9055 SPRINGBROOK DR NW, Coon Rapids, MN 55433
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Other Identifiers 3

Medicare UPINT78410
Medicaid168223700MN
Medicare PIN410003606WI

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.

BLYTHE ELLEN NELSON LICSW
Social Worker (Clinical)
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Anoka County (763) 780-9155
DR. SUZANNE T WITTERHOLT MD
Psychiatry & Neurology (Pain Medicine)
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Anoka County (763) 780-9155
ABBY O'KEEFE STANISLAW PSYD
Psychologist (Clinical)
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Anoka County (763) 780-9155
MONICA YUE AUD
Audiologist
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Anoka County (763) 780-9155
EMILY BUTLER STRANGE DPT
Physical Therapist
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Anoka County (763) 780-9155
MARK H. BRAKKE MD
Family Medicine
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Anoka County (763) 780-9155
NATALIA YAZIGI M.D.
Internal Medicine
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Anoka County (763) 780-9155
STEPHANIE LANE FENNESSEY MS, RD, LD, CDE
Dietitian, Registered
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Anoka County (763) 780-9155

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 Tammy Peterson's NPI number?

The NPI number for Tammy Peterson is 1366404386. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Tammy Peterson located?

Tammy Peterson practices at 9055 Springbrook Dr NW, Coon Rapids, MN 55433. The listed phone number is (763) 780-9155.

What is Tammy Peterson's specialty?

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

When was this NPI record last updated?

The NPPES record for Tammy Peterson was last updated on October 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.