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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JEFFREY M PETERSON OD
NPI 1760454946
Optometrist in Bloomington, MN

Active since February 02, 2006PECOS Enrolled
8600 NICOLLET AVE S, MAIL STOP 31500A, BLOOMINGTON, MN 55420(952) 887-6600(952) 886-7015 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 13, 2026, Apr 21, 2021 (2 updates tracked since 2021).

About Jeffrey M Peterson Od NPPES

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

JEFFREY M PETERSON OD (NPI 1760454946) is an individual optometrist in Bloomington, Minnesota, licensed in Minnesota (2567) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Ferris State College - College Of Optometry (1996).

NPPES Registry Identity

NPI1760454946
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJEFFREY M PETERSONCredential: OD
Location Address8600 NICOLLET AVE S, MAIL STOP 31500ABloomington, MN 55420-2824
Mailing Address2019 Jefferson Rd, Ste ANorthfield, MN 55057-3258 · (507) 645-9202 · Fax (507) 645-9203
Phone(952) 887-6600
Fax(952) 886-7015
Sole ProprietorNo
Medical School CMSFerris State College - College Of OptometryGraduated 1996
Enumeration DateFebruary 2, 2006
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedApril 21, 2021
✔ NPI 1760454946 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 MN · 2567
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.
8600 NICOLLET AVE S, Bloomington, MN 55420
Open in Google Maps ↗

Other Identifiers 1

Medicaid989014900MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey M Peterson Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991987489
PECOS Enrollment IDI20110303000990
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
35 services35 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
24 services23 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55420 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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. DARREN DALE BRAY MD
Pediatrics
8600 NICOLLET AVE S
BLOOMINGTON, MN 55420
Hennepin County (952) 541-2800
DR. FRANTZ JUNIOR PIERRE TOUSSAINT OD
Optometrist
8600 NICOLLET AVE S
BLOOMINGTON, MN 55420
Hennepin County (952) 541-2800
KAIHAN FAKHAR
Ophthalmology
8600 NICOLLET AVE S
BLOOMINGTON, MN 55420
Hennepin County (952) 541-2800
MEGAN FERGE
Social Worker (Clinical)
8600 NICOLLET AVE S
BLOOMINGTON, MN 55420
Hennepin County (952) 541-2800
AMBER L PELTIER PHARMD.
Pharmacist
8600 NICOLLET AVE S
BLOOMINGTON, MN 55420
Hennepin County (952) 887-6600
NAHID RAZMPOUR SHOKOHI CNM
Advanced Practice Midwife
8600 NICOLLET AVE S, MAIL STOP 31500A
BLOOMINGTON, MN 55420
Hennepin County (952) 887-6600
JOHN MICHAEL CONSOER OD
Optometrist
8600 NICOLLET AVE S, MAIL STOP 31500A
BLOOMINGTON, MN 55420
Hennepin County (952) 887-6600
PAOLA MICHELLE CALLE SARMIENTO MD
Internal Medicine
8600 NICOLLET AVE S
BLOOMINGTON, MN 55420
Hennepin County (952) 541-2800

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 Jeffrey Peterson's NPI number?

The NPI number for Jeffrey Peterson is 1760454946. It was assigned to this individual provider in the NPPES registry on February 2, 2006.

Where is Jeffrey Peterson located?

Jeffrey Peterson practices at 8600 Nicollet Ave S Mail Stop 31500A, Bloomington, MN 55420. The listed phone number is (952) 887-6600.

What is Jeffrey Peterson's specialty?

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

Is Jeffrey Peterson enrolled in Medicare?

Yes. Jeffrey Peterson is registered in the Medicare PECOS enrollment system.

What insurance does Jeffrey Peterson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HealthPartners and Medica and 1 other insurer list Jeffrey Peterson 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 Jeffrey Peterson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.