Roger L Petersen Od is a
Optometrist based in Higginsville, Missouri. Roger L Petersen Od is licensed to practice in Missouri (license number TO2272) and their current practice location is
1817 N Main St, Higginsville, Missouri. It can be reached at their office (for appointments etc.) via phone at
(660) 584-2956.
NPI number for Roger L Petersen Od is 1992829006 and their current mailing address is 1817 N Main St, Higginsville, Missouri. Roger L Petersen Od
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1992829006.
Healthcare Provider's Profile
| Full Name | Roger L Petersen Od |
|---|
| Type | Facility |
|---|
| Speciality | Optometrist |
|---|
| Location | 1817 N Main St, Higginsville, Missouri |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1992829006
- Provider Enumeration Date: 03/16/2007
- Last Update Date: 08/22/2020
Medical Identifiers
Medical identifiers for Roger L Petersen Od such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1992829006 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 152W00000X | Optometrist | TO2272 (Missouri) | 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. Roger L Petersen Od 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 |
Roger L Petersen Od 1817 N Main St, Higginsville, MO 64037-1524 Ph: (660) 584-2956 | Roger L Petersen Od 1817 N Main St, Higginsville, MO 64037-1524 Ph: (660) 584-2956 |
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