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Deactivated NPI 1013905488 Deactivated / Inactive NPI Male Practitioner

Dr. Peter Rosenberg , OD

Optometrist • Phoenix, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Peter Rosenberg has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 11, 2005
NPI Deactivation Date January 22, 2026
Total Practice Duration ~21 Years of Practice (2005 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Peter Rosenberg, OD was a registered Optometrist practicing in Phoenix, AZ. Throughout an active medical career spanning 21 years, Dr. Rosenberg provided care at the practice location at 3415 W GLENDALE AVE until profile deactivation on 2026-01-22.

Practice Location & Contact Primary Location

Practice Address

3415 W Glendale Ave
Building B, Suite 11

Phoenix, AZ 850518386

Telephone 6029735868
Fax 6029736076
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.8 Yrs
State Avg: 20.2 Yrs
Regional Practice Density
255 Specialists

Practicing in Phoenix, AZ (1373 Statewide)

Telehealth Adoption Rate
0.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License AZ 874

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 22, 2026

Record deactivated on January 22, 2026

NPI Profile Active May 08, 2014

NPI status registered as active in NPPES database

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Updated Practice Location May 08, 2014

Registered at 3415 W GLENDALE AVE, BUILDING B, SUITE 11, PHOENIX, AZ 850518386 (Tel: 6029735868)

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Updated Business Mailing Address May 08, 2014

Registered at 220 N MCKEMY AVE, CHANDLER, AZ 852262654 (Tel: 4809611865)

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Provider Name / Credentials Updated May 08, 2014

Recorded as PETER ROSENBERG, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2014

Optometrist (License #874 in AZ)

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Initial NPI Registration & Enumeration October 11, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013905488
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2005
Last Update: May 08, 2014
Deactivation Date: January 22, 2026

Mailing Address

220 N Mckemy Ave

Chandler, AZ 852262654

Phone: 4809611865

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.