DR. DAVID JAMES PETERSON (O.D.) – Optometrist, NPI 1164411930

DR. DAVID JAMES PETERSON (O.D.) is a healthcare provider. based in Fairbanks, Alaska. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. 2496 (MN). The NPI Number for DR. DAVID JAMES PETERSON (O.D.) is 1164411930

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID JAMES PETERSON (O.D.)
NPI
1164411930
Phone
(907) 456-7760
Address
116 MINNIE ST
Enumeration Date
14 October 2005
Last Update Date
29 November 2016

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
9074567760
Graduation Year
1994 (32 years ago)
PAC ID
4688895048
Group Practice PAC ID
7719878370
Professional Enrollment ID
I20141028002050
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for DR. DAVID JAMES PETERSON (O.D.)

  • 116, Minnie Street, Slaterville, Fairbanks, Fairbanks North Star, Alaska, 99701, United States

    FAIRBANKS, AK 997013006

    Phone: (907) 456-7760

    Fax: (907) 328-1867

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $131.

Total Amount is formed as General ($131) + Research ($0) + Ownership ($0) = $131.

Last reported payment date: 2024-06-20 • Largest payer in this snapshot: Dompe US, Inc. ($110).

Total Amount

$131

General + Research + Ownership

Payments

2

Total payment records

General Amount

$131

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Dompe US, Inc.$110
ABBVIE INC.$20
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99701)

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Provider's Procedures

DR. DAVID JAMES PETERSON (O.D.) performs procedures in Optometrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYAK92012Eye and medical examination for diagnosis and treatment, established patient5850
OPTOMETRYAK92083Measurement of field of vision during daylight conditions1211
OPTOMETRYAK92134Diagnostic imaging of retina1414

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719878370View full group profile
NameSpecialtyState
O P T O M E T R YAK
O P T O M E T R YAK
O P T O M E T R YAK
O P T O M E T R YAK
O P H T H A L M O L O G YAK
O P H T H A L M O L O G YAK
O P T O M E T R YAK

Reviews

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Frequently asked questions

What NPI should I save for DR. DAVID JAMES PETERSON (O.D.)?
Save NPI 1164411930 if you need a stable reference for DR. DAVID JAMES PETERSON (O.D.).
Does this profile mean DR. DAVID JAMES PETERSON (O.D.) is currently active?
Yes — DR. DAVID JAMES PETERSON (O.D.) appears active in the national provider directory.
Does DR. DAVID JAMES PETERSON (O.D.) list a primary specialty?
If you are matching referrals, note Optometrist for DR. DAVID JAMES PETERSON (O.D.). Clinical services aligned with this taxonomy classification.
Where does public data place DR. DAVID JAMES PETERSON (O.D.)?
The snapshot lists Fairbanks, Alaska for DR. DAVID JAMES PETERSON (O.D.); download NPPES for the complete set.
Is DR. DAVID JAMES PETERSON (O.D.) a real provider?
This page reflects official NPPES data for NPI 1164411930. Always confirm identity and privileges with the practice and licensing boards.