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Active NPI 1477987741 Individual Practitioner Male Practitioner

Dr. Brian Michael Peterson , OD

Optometrist • Ormond Beach, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Brian Peterson, OD is a certified Optometrist practicing in Ormond Beach, FL. With approximately 13 years of clinical experience since completing medical education in 2013, Dr. Peterson delivers high-quality medical care to the local community at 900 W GRANADA BLVD STE 1.

Dr. Peterson is affiliated with Star Medical Fl Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient complete exam of visual system, established patient outpatient office visit, established patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

900 W Granada Blvd Ste 1

Ormond Beach, FL 321745941

Telephone 3866756599
Associated Practice Facility / Clinic
🏢 Eye Design Eyewear., Llc Facility NPI 1316539927

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Ormond Beach, FL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs -6.8 yrs vs City Avg
City Avg: 19.8 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
16 Specialists

Practicing in Ormond Beach, FL (3724 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
5.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Peterson (13 Years) 13 Yrs
Ormond Beach Specialty Average (19.8 Years) 19.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92004 New patient complete exam of visual system
27 27 $141.67 $132.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
16 11 $60.00 $54.97
92014 Established patient complete exam of visual system
16 16 $94.00 $92.69

Medical Specialties & State Licenses

CMS Verified: 2026-07-09
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License FL OPC 4830

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Florida License Number
OPC 4830 (FL)

Hospital & Practice Group Affiliations

Star Medical Fl Pllc

900 W Granada Blvd, Ormond Beach, FL 321745941

Phone: 3866756599

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Daniel Marshall

Durable Medical Equipment & Medical Supplies - Customized Equipment

NPI 1164945713
Jodi Butler

Technician/Technologist - Optician

NPI 1730714965

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location July 09, 2026

Registered at 900 W GRANADA BLVD STE 1, ORMOND BEACH, FL 321745941 (Tel: 3866756599)

📍
Updated Business Mailing Address July 09, 2026

Registered at 1857 OLD TOMOKA RD W, ORMOND BEACH, FL 321746704 (Tel: 3869867997)

📍
Updated Practice Location September 30, 2021

Registered at 15 CYPRESS BRANCH WAY STE 205, PALM COAST, FL 321648414 (Tel: 3864451880)

📍
Updated Business Mailing Address September 30, 2021

Registered at 1950 OLD GALLOWS RD STE 520, VIENNA, VA 221823970 (Tel: 7038478899)

NPI Profile Active June 15, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 15, 2016

Registered at 5517 S WILLIAMSON BLVD, STE 310, PORT ORANGE, FL 321288310 (Tel: 3867601896)

📍
Updated Business Mailing Address June 15, 2016

Registered at 5517 S WILLIAMSON BLVD, STE 310, PORT ORANGE, FL 321288310 (Tel: 3867601896)

👤
Provider Name / Credentials Updated June 15, 2016

Recorded as BRIAN PETERSON, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2016

Optometrist (License #OPC 4830 in FL)

🟢
Initial NPI Registration & Enumeration August 22, 2013

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: 1477987741
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2013
Last Update: July 09, 2026
Sole Proprietor: Yes

Mailing Address

1857 Old Tomoka Rd W

Ormond Beach, FL 321746704

Phone: 3869867997

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.