PETERSON EYECARE PC
NPI 1639387988
Optometrist - Corneal and Contact Management in Cedar Rapids, IA

Q: What is Peterson Eyecare PC's NPI number?

The NPI number for Peterson Eyecare PC is 1639387988. It was assigned to this organization in the NPPES registry on May 18, 2007.

Q: What is Peterson Eyecare PC's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Active since May 18, 2007

2805 BLAIRS FERRY RD NE, SUITE B, CEDAR RAPIDS, IA 52411(319) 832-2020(319) 832-2015 Get Directions Write a Review

NPPES record last updated: February 5, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Peterson Eyecare Pc NPPES

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

PETERSON EYECARE PC (NPI 1639387988) is a healthcare organization registered as a corneal and contact management in Cedar Rapids, Iowa and active in the NPI registry since May 2007. The organization lists Chad D Peterson, President Optometrist, as its authorized official.

NPPES Registry Identity

NPI1639387988

Entity TypeOrganization

Primary Taxonomy152WC0802X

Legal Business NamePETERSON EYECARE PC

Location Address2805 BLAIRS FERRY RD NE, SUITE BCedar Rapids, IA 52411

Mailing Address2805 Blairs Ferry Rd Ne, Suite BCedar Rapids, IA 52411 · (319) 832-2020 · Fax (319) 832-2015

Phone(319) 832-2020

Fax(319) 832-2015

Organization SubpartNo

Authorized OfficialChad D PetersonPresident Optometrist · (319) 832-2020

Enumeration DateMay 18, 2007

Last NPPES UpdateFebruary 5, 2014

✔ NPI 1639387988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers

Taxonomy Code152WC0802X

License✔ Licensed in IA · 02103

Definition

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

2805 BLAIRS FERRY RD NE, Cedar Rapids, IA 52411

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Other Identifiers 1

Medicaid0235770IA

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peterson Eyecare Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Peterson Eyecare PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Chad Peterson, O.D.

Optometry

NPI 1114951746

BLAIRS FERRY RD. NE
Cedar Rapids, IA 52402

(319) 310-3310

✔ PECOS✔ Accepts Medicare1.5 mi

Wayne Huebener, O.D.

Optometry

NPI 1295841302

VISION 4 LESS 1810 N. CORAL STREET
Coralville, IA 52241

(319) 246-5623

✔ PECOS23 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Peterson Eyecare PC's NPI number?

The NPI number for Peterson Eyecare PC is 1639387988. It was assigned to this organization in the NPPES registry on May 18, 2007.

Where is Peterson Eyecare PC located?

Peterson Eyecare PC is located at 2805 Blairs Ferry Rd NE Suite B, Cedar Rapids, IA 52411. The listed phone number is (319) 832-2020.

What is Peterson Eyecare PC's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Peterson Eyecare PC enrolled in Medicare?

Yes. Peterson Eyecare PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peterson Eyecare PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Peterson Eyecare PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Peterson Eyecare PC was last updated on February 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.