Dane M. Peterson, OD
Optometrist · St. Anthony, MN
Practice location
2601 39TH Ave NE Ste 1St. Anthony, MN 55421-4372
- Phone
- (763) 416-7600
- Fax
- (763) 416-7634
NPI record
- NPI
- 1285863530
- Entity type
- Individual (Type 1)
- Enumeration date
- July 8, 2009
- Last updated
- March 17, 2020
- Certified
- March 17, 2020
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X |
3325 | MN |
| Optometrist | 152W00000X |
2738 | CO |
Mailing address
8401 Golden Valley Rd Ste 330Golden Valley, MN 55427-4488
- Phone
- (763) 416-7629
- Fax
- (763) 383-4147
Other practice locations (2)
- 12000 Elm Creek Blvd N Ste 100, Maple Grove, MN 55369-7074 · (763) 416-7600
- 8501 Golden Valley Rd Ste 100, Golden Valley, MN 55427-4472 · (763) 416-7600
About Dr. Peterson
Dane M. Peterson, OD is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 2601 39TH Ave NE Ste 1, St. Anthony, MN 55421-4372. The NPI number 1285863530 was assigned on July 8, 2009 and the record was last updated on March 17, 2020.
Dr. Peterson lists 2 licenses in the registry: #3325 (MN) for Optometrist; #2738 (CO) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Dane M. Peterson, OD?
The NPI number is 1285863530.
What is the phone number of Dr. Peterson?
The phone number listed for the practice location is (763) 416-7600.
Where is Dr. Peterson located?
2601 39TH Ave NE Ste 1, St. Anthony, MN 55421-4372.
What is the taxonomy code for Dr. Peterson?
The primary taxonomy code is 152W00000X – Optometrist; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Optometrist providers in St. Anthony
- Kari J. Burgard, OD2929 Pentagon Dr
- Todd Jeffrey Hanson, O.D.2929 Pentagon Dr