Kimberly Peterson, O.d., Inc. - Medicare Optometrist in Rialto, CA

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Kimberly Peterson, O.d., Inc. is a medicare enrolled "Optometrist" provider in Rialto, California. Their current practice location is 1850 N Riverside Ave, Suite 100, Rialto, California. You can reach out to their office (for appointments etc.) via phone at (909) 421-3030.

Kimberly Peterson, O.d., Inc. is licensed to practice in California (license number 11094T) and it also participates in the medicare program. Kimberly Peterson, O.d., Inc. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1003120452.

Contact Information

Kimberly Peterson, O.d., Inc.
1850 N Riverside Ave, Suite 100,
Rialto, CA 92376-8071
(909) 421-3030
(909) 421-3059

Map and Direction




Healthcare Provider's Profile

Full NameKimberly Peterson, O.d., Inc.
TypeFacility
SpecialityOptometrist
Location1850 N Riverside Ave, Rialto, California
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003120452
  • Provider Enumeration Date: 07/27/2010
  • Last Update Date: 07/27/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 6305960766
  • Enrollment ID: O20100908000173

Medical Identifiers

Medical identifiers for Kimberly Peterson, O.d., Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003120452NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 11094T (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Kimberly Peterson, O.d., Inc. acts as a billing entity for following providers:
Provider NamePhuong T To
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1215070461
PECOS PAC ID: 4880602036
Enrollment ID: I20060403000081
Provider NameKimberly Peterson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1922141175
PECOS PAC ID: 9436273893
Enrollment ID: I20100908000253
Provider NameMarvin Chi
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1831750942
PECOS PAC ID: 7911239835
Enrollment ID: I20191025002501
Provider NameCarol Lafradez
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1346885985
PECOS PAC ID: 4880028315
Enrollment ID: I20191216002952

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. Kimberly Peterson, O.d., Inc. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kimberly Peterson, O.d., Inc.
1850 N Riverside Ave, Suite 100,
Rialto, CA 92376-8071

Ph: (909) 421-3030		Kimberly Peterson, O.d., Inc.
1850 N Riverside Ave, Suite 100,
Rialto, CA 92376-8071

Ph: (909) 421-3030

Reviews and Comments


Optometrist in Rialto, CA

Andrew Thien Ngo, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 1175 Renaissance Pkwy Ste 1050, Rialto, CA 92376
Phone: 623-486-1888    
Dr. Phuong To, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 1850 N Riverside Ave, Suite 100, Rialto, CA 92376
Phone: 909-421-3030    Fax: 909-421-3059
Dennis Wong, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 1366 S Riverside Ave, Rialto, CA 92376
Phone: 909-421-2020    Fax: 909-285-9586
Gary Melvin Freestone, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 1850 N Riverside Ave, Suite 220, Rialto, CA 92376
Phone: 909-875-1144    Fax: 909-875-0640
Nauz Hassanshahi, OD
Optometrist
Medicare: Medicare Enrolled
Practice Location: 1850 N Riverside Ave, Ste 220, Rialto, CA 92376
Phone: 909-875-1144    
Dr. Susan Elizabeth Sawyer, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 1613 S Riverside Ave, Suite B, Rialto, CA 92376
Phone: 909-421-1022    Fax: 909-421-3932

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.