DR. LELAND DAVID PETERSON (OD) – Optometrist, NPI 1962608836

DR. LELAND DAVID PETERSON (OD) is a healthcare provider. based in Peoria, Illinois. specializing in Optometrist. They hold the professional credentials OD. They hold a License No. 046007274 (IL). The NPI Number for DR. LELAND DAVID PETERSON (OD) is 1962608836

Main info

Male
Name
DR. LELAND DAVID PETERSON (OD)
NPI
1962608836
Phone
(309) 693-9540
Address
8309 N KNOXVILLE AVE
Enumeration Date
26 June 2007
Last Update Date
14 January 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for DR. LELAND DAVID PETERSON (OD)

  • 8309, North Knoxville Avenue, Peoria, Peoria County, Illinois, 61615, United States

    PEORIA, IL 616152170

    Phone: (309) 693-9540

    Fax: (309) 693-9540

    Type: Mailing

  • 4032, Blackhawk Road, Rock Island, Rock Island County, Illinois, 61201, United States

    ROCK ISLAND, IL 612017064

    Phone: (309) 786-9734

    Fax: (309) 786-9790

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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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.

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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 61615)

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Reviews

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Frequently asked questions

What unique ID ties claims to DR. LELAND DAVID PETERSON (OD)?
NPI 1962608836 is assigned to DR. LELAND DAVID PETERSON (OD) under the national enumeration system.
Does this profile mean DR. LELAND DAVID PETERSON (OD) is currently active?
Yes — DR. LELAND DAVID PETERSON (OD) appears active in the national provider directory.
Can you summarize DR. LELAND DAVID PETERSON (OD)'s specialty in plain language?
Clinically, the directory lists DR. LELAND DAVID PETERSON (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
What location shows for DR. LELAND DAVID PETERSON (OD)?
We surface Peoria, Illinois for DR. LELAND DAVID PETERSON (OD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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