Doctor Name: | DR. CYNTHIA L PEETERSE |
NPI Number: | 1821084328 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OD |
License Number: | 0B3056 |
Business Practice Address: | 1201 Eglin Pkwy Shalimar, FL - 325791245 |
Business Phone Number: | 8506136588 |
Business Fax Number: | 8506136574 |
Mailing Address: | 1201 Eglin Pkwy, SHALIMAR |
State: | FL |
Postal Code: | 325791245 |
Phone Number: | 8506136588 |
Fax Number: | 8506136574 |
NPI Enumeration Date: | 09/21/2005 |
NPI Last Update Date: | 12/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | 0B3056 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |