GAIL ANN PETERSEN O.D.
NPI 1508922717
Optometrist in Riverdale, MD

Active since December 29, 2006
6615 RIVERDALE RD, RIVERDALE, MD 20737(301) 918-0095(301) 918-0097 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2024, Jul 23, 2023, Jul 30, 2021 (3 updates tracked since 2021).

About Gail Ann Petersen O.d. NPPES

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

GAIL ANN PETERSEN O.D. (NPI 1508922717) is an individual optometrist in Riverdale, Maryland, licensed in California (OPT11093-TPA) and active in the NPI registry since December 2006. She maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1508922717
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameGAIL ANN PETERSENCredential: O.D.
Location Address6615 RIVERDALE RDRiverdale, MD 20737-2908
Mailing Address6615 Riverdale RdRiverdale, MD 20737-2908 · (301) 918-0095 · Fax (301) 918-0097
Fax(301) 918-0097
Sole ProprietorYes
Enumeration DateDecember 29, 2006
Last NPPES UpdateJune 20, 20243 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
NPI 1508922717 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 CA · OPT11093-TPA Licensed in MD · TA1874
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.
6615 RIVERDALE RD, Riverdale, MD 20737

Secondary Practice Location 1

Location 112100 Wilshire Blvd Ste 1275Los Angeles, CA 90025-7143 · Phone (800) 485-9196

Other Identifiers 1

Medicaid0434752MD

Other Providers at the Same Location NPPES

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

Optometrist
6615 RIVERDALE RD
RIVERDALE, MD 20737

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 Gail Petersen's NPI number?

The NPI number for Gail Petersen is 1508922717. It was assigned to this individual provider in the NPPES registry on December 29, 2006.

Where is Gail Petersen located?

Gail Petersen practices at 6615 Riverdale Rd, Riverdale, MD 20737. The listed phone number is (301) 918-0095.

What is Gail Petersen'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 Gail Petersen was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.