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DR. EMILY PETERSON O.D
NPI 1891125027
Optometrist in Fayetteville, AR

Active since November 25, 2013PECOS Enrolled
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703(615) 355-3451 Get Directions Write a Review

NPPES record last updated: September 16, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Emily Peterson O.d NPPES

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

DR. EMILY PETERSON O.D (NPI 1891125027) is an individual optometrist in Fayetteville, Arkansas, licensed in Missouri (2014039252) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891125027
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. EMILY PETERSONCredential: O.D
Location Address1100 N COLLEGE AVEFayetteville, AR 72703-1944
Mailing AddressPo Box 2429Smyrna, TN 37167-1719 · (615) 355-3451
Phone(615) 355-3451
Sole ProprietorNo
Enumeration DateNovember 25, 2013
Last NPPES UpdateSeptember 16, 2015
✔ NPI 1891125027 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 MO · 2014039252
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.
1100 N COLLEGE AVE, Fayetteville, AR 72703
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Emily Peterson O.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72703 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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.

MICHELE L GRIFFIN NP-C
Nurse Practitioner (Family)
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (641) 780-8696
MARTHA JO MCKINNEY APN
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 443-4301
KRISTIN SALMON PA-C
Physician Assistant
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 443-4301
SAVANNAH HILL PA-C
Physician Assistant
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 443-4301
MADISON MARIE-IVEY MCANALLY
Social Worker
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 305-0271
DR. JOHN FRANK CUCHIA MD
Anesthesiology
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 443-4301
FAYETTEVILLE VAMC
General Acute Care Hospital
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (615) 355-3451
DR. DIANA L SHIPMAN MD
Ophthalmology
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 444-5093

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 Emily Peterson's NPI number?

The NPI number for Emily Peterson is 1891125027. It was assigned to this individual provider in the NPPES registry on November 25, 2013.

Where is Emily Peterson located?

Emily Peterson practices at 1100 N College Ave, Fayetteville, AR 72703. The listed phone number is (615) 355-3451.

What is Emily Peterson's specialty?

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

Is Emily Peterson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Emily Peterson was last updated on September 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.