DR. PETER O IM O.D.
NPI 1922078583
Optometrist in Jacksonville, FL
- Individual
- Male
- Optometrist
About PETER IM
This page provides the complete NPI Profile along with additional information for Peter Im, a provider established in Jacksonville, Florida with a medical specialization in Optometrist. The healthcare provider is registered in the NPI registry with number 1922078583 assigned on January 2006. The practitioner's primary taxonomy code is 152W00000X with license number 11597T (CA). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1922078583 Verify this NPI
- Provider Name
- DR. PETER O IM O.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2080 CHILD ST JACKSONVILLE, FL 32214
- Location Phone
- (904) 542-7194
- Mailing Address
- 3475 N SARATOGA ST OAK HARBOR, WA 98278
- Mailing Phone
- (360) 257-9600
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-25-2006
- Last Update Date
- 02-27-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Optometrist
- Taxonomy Code
- 152W00000X
- Type
- Eye and Vision Services Providers
- License No.
- 11597T
- License State
- CA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 152W00000X | Eye and Vision Services Providers | Optometrist | 2912AT (OR) |
| 2 | 152W00000X | Eye and Vision Services Providers | Optometrist | 3677 (WA) |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
JACKSONVILLE, FL 32214
JACKSONVILLE, FL 32214
JACKSONVILLE, FL 32214
JACKSONVILLE, FL 32214
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922078583, enumerated as an "individual" on January 25, 2006.
The provider is located at 2080 CHILD ST JACKSONVILLE, FL 32214 and the phone number is (904) 542-7194.
Optometrist with taxonomy code 152W00000X.
