DR. BERT M PETERSON JR. O.D.
NPI 1972607323
Optometrist in Bedford, VA

Active since September 07, 2006PECOS Enrolled
1126 E. LYNCHBURG-SALEM TPK, WALMART VISION CENTER, BEDFORD, VA 24523(540) 586-0111(540) 586-0111 Get Directions Write a Review

NPPES record last updated: July 18, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bert M Peterson Jr. O.d. NPPES

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

DR. BERT M PETERSON JR. O.D. (NPI 1972607323) is an individual optometrist in Bedford, Virginia, licensed in Virginia (0618000348) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972607323
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. BERT M PETERSON JR.Credential: O.D.
Location Address1126 E. LYNCHBURG-SALEM TPK, WALMART VISION CENTERBedford, VA 24523-3446
Mailing AddressPo Box 823Bedford, VA 24523-0823 · (540) 586-0111 · Fax (540) 586-0111
Fax(540) 586-0111
Sole ProprietorYes
Enumeration DateSeptember 7, 2006
Last NPPES UpdateJuly 18, 2018
NPI 1972607323 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 VA · 0618000348
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.
1126 E. LYNCHBURG-SALEM TPK, Bedford, VA 24523

Other Names 1

Professional Name (2)Bert Peterson O.d.

Other Identifiers 3

Other30-0331203VA · Fed. Employer Id Number
Other222702VA · Luxotica Managed Care
Medicaid92-3065-3VA

Accepted 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)

Dr. Bert M Peterson Jr. 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 24523 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

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 Bert Peterson's NPI number?

The NPI number for Bert Peterson is 1972607323. It was assigned to this individual provider in the NPPES registry on September 7, 2006. The provider is also known as Bert Peterson O.D..

Where is Bert Peterson located?

Bert Peterson practices at 1126 E. Lynchburg-Salem Tpk Walmart Vision Center, Bedford, VA 24523. The listed phone number is (540) 586-0111.

What is Bert Peterson's specialty?

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

Is Bert Peterson enrolled in Medicare?

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

What insurance does Bert Peterson 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 and 1 other insurer list Bert 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 Bert Peterson was last updated on July 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.