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Active NPI 1760454946 Individual Practitioner Male Practitioner

Dr. Jeffrey M Peterson , OD

Optometrist • Bloomington, MN

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Peterson, OD is a certified Optometrist practicing in Bloomington, MN. With approximately 30 years of clinical experience since graduating from Ferris State College - College Of Optometry in 1996, Dr. Peterson delivers high-quality medical care to the local community at 8600 NICOLLET AVE S.

Dr. Peterson does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, photography of the retina, new 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

8600 Nicollet Ave S
Mail Stop 31500a

Bloomington, MN 554202824

Telephone 9528876600
Fax 9528867015
Associated Practice Facility / Clinic
🏢 Group Health Plan Inc Facility NPI 1619037660

Medicare Profile & Education

Medical School

Ferris State College - College Of Optometry

Graduation Year

1996

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Bloomington, MN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
30 Yrs +18.0 yrs vs City Avg
City Avg: 12.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
33 Specialists

Practicing in Bloomington, MN (1178 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
58.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Peterson (30 Years) 30 Yrs
Bloomington Specialty Average (12.0 Years) 12.0 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
92014 Established patient complete exam of visual system
35 35 $286.74 $124.83
92250 Photography of the retina
24 23 $100.42 $36.56
92004 New patient complete exam of visual system
16 16 $331.88 $138.39

Medical Specialties & State Licenses

CMS Verified: 2021-04-21
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MN 2567

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

Medicaid State Provider ID
989014900 (MN)

Practice Associates & Co-Workers

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

26 Associated Practitioners
Kaihan Fakhar

Ophthalmology

NPI 1114312980
Megan Ferge

Social Worker - Clinical

NPI 1134587603
Dr. Elger Lorenzsonn , MD

Internal Medicine

NPI 1144292145

Doctor of Medicine (M.D.)

NPI 1164407664

Doctor of Pharmacy (Pharm.D.)

Nahid Shokohi , CNM

Advanced Practice Midwife

NPI 1164495933

Certified Nurse Midwife

NPI 1174596555

Doctor of Optometry

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address April 21, 2021

Registered at 2019 JEFFERSON RD, STE A, NORTHFIELD, MN 550573258 (Tel: 5076459202)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 8600 NICOLLET AVE S, MAIL STOP 31500A, BLOOMINGTON, MN 554202824 (Tel: 9528876600)

📍
Updated Business Mailing Address July 08, 2007

Registered at 8100 34TH AVE S, 21110Q, BLOOMINGTON, MN 554251672 (Tel: 9528835790)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JEFFREY PETERSON, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #2567 in MN)

🟢
Initial NPI Registration & Enumeration February 02, 2006

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: 1760454946
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 02, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

2019 Jefferson Rd, Ste A

Northfield, MN 550573258

Phone: 5076459202

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.