Jacqueline Petersen, OD is a
Optometrist based in Jeffersonvlle, Indiana. Jacqueline Petersen is licensed to practice in Indiana (license number 18004589A) and her current practice location is
302 W 14th St Ste 100a, Jeffersonvlle, Indiana. She can be reached at her office (for appointments etc.) via phone at
(812) 284-0660.
NPI number for Jacqueline Petersen is 1629965496 and her current mailing address is 302 W 14th St Ste 100a, Jeffersonvlle, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629965496.
Healthcare Provider's Profile
Full Name | Jacqueline Petersen |
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Gender | Female |
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Speciality | Optometrist |
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Location | 302 W 14th St Ste 100a, Jeffersonvlle, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629965496
- Provider Enumeration Date: 06/23/2025
- Last Update Date: 06/23/2025
Medical Identifiers
Medical identifiers for Jacqueline Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629965496 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 18004589A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Petersen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jacqueline Petersen, OD 302 W 14th St Ste 100a, Jeffersonvlle, IN 47130-3751 Ph: (812) 284-0660 | Jacqueline Petersen, OD 302 W 14th St Ste 100a, Jeffersonvlle, IN 47130-3751 Ph: (812) 284-0660 |
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