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DR. JAY PETERSEN O.D.
NPI 1801999388
Optometrist in Bloomington, MN

Active since September 07, 2006
N-236 NORTH GARDEN, MALL OF AMERICA, BLOOMINGTON, MN 55425(952) 854-4500(952) 858-8525 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jay Petersen O.d. NPPES

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

DR. JAY PETERSEN O.D. (NPI 1801999388) is an individual optometrist in Bloomington, Minnesota, licensed in Minnesota (MN1697) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1801999388
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JAY PETERSENCredential: O.D.
Location AddressN-236 NORTH GARDEN, MALL OF AMERICABloomington, MN 55425
Mailing Address3333 Hazelton RdEdina, MN 55435-4204 · (952) 926-5300 · Fax (952) 915-9212
Phone(952) 854-4500
Fax(952) 858-8525
Sole ProprietorNo
Enumeration DateSeptember 7, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1801999388 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 · MN1697
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.
N-236 NORTH GARDEN, Bloomington, MN 55425
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Other Identifiers 5

OtherMN1697MN · Eyemed
Other2203100MN · Medica/united Health Care
Other190P9PEMN · Bcbs/mn
Other23713MN · America's Ppo
Medicare UPINT70822MN

Accepted Insurance

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

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 Jay Petersen's NPI number?

The NPI number for Jay Petersen is 1801999388. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is Jay Petersen located?

Jay Petersen practices at N-236 North Garden Mall Of America, Bloomington, MN 55425. The listed phone number is (952) 854-4500.

What is Jay Petersen's specialty?

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

What insurance does Jay Petersen accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Jay Petersen 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 Jay Petersen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.