Michael S Peterson, Od, PC
NPI 1942437058ActiveOrganization· Optometrist· Salt Lake City, UT
Optometrist in Salt Lake City, Utah, registered in NPPES in June 2009. The authorized official on file is Michael Shawn Peterson, O.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1942437058 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 16, 2009 |
| Last updated in NPPES | Jun 16, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 283356-9934 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|
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