Peterson, Anthony

Peterson, Anthony is an sole proprietor health care provider with primary practice located at 150 E Highway 67 Suite 120, Duncanville TX 75137-4476. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Peterson, Anthony can be contacted via phone (972) 298-3937.

Contact Information

Primary practice address
150 E Highway 67 Suite 120 Duncanville TX 75137-4476
Phone: (972) 298-3937
Fax: (972) 298-2170
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 7032TG Texas

Profile Details

NPI number 1255474219
LBN Legal business name Peterson, Anthony
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
Last updated Nov 13th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255474219 NPPES
Texas Other 196604604 MEDICAID PROVIDER TPI#
Texas Other 269216 MEDICAID PROVIDER TPI#

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