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Contact Information

KEVIN C PETERSON, OD
1845 LOCKEWAY DR
SUITE 401
ALPHARETTA, GA30004-5936
 Phone: 770-664-5580
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for KEVIN C PETERSON · (Male)

NPI # 1013089283
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 11/14/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 1697
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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