Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801999388 Individual Practitioner Male Practitioner

Dr. Jay Petersen , OD

Optometrist • Bloomington, MN

Professional Overview & Biography Verified Profile Summary

Dr. Jay Petersen, OD is a registered healthcare professional specializing in Optometrist in Bloomington, MN. Practice services are available at N-236 NORTH GARDEN under active NPI credentials.

Frequently performed procedures and clinical services include 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

N-236 North Garden
Mall Of America

Bloomington, MN 55425

Telephone 9528544500
Fax 9528588525
Associated Practice Facility / Clinic
🏢 Visual Edge, Inc Facility NPI 1841341898

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Bloomington, MN

Active Practitioner
Practitioner Clinical Experience
Active
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
2.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
15 15 $119.75 $116.33

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MN MN1697

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 Medica/united Health Care
2203100 (MN)
Commercial Insurance / Payer ID America's Ppo
23713 (MN)
Commercial Insurance / Payer ID Eyemed
MN1697 (MN)
Commercial Insurance / Payer ID Bcbs/mn
190P9PE (MN)

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1689777179

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at N-236 NORTH GARDEN, MALL OF AMERICA, BLOOMINGTON, MN 55425 (Tel: 9528544500)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3333 HAZELTON RD, EDINA, MN 554354204 (Tel: 9529265300)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JAY PETERSEN, O.D.

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

Optometrist (License #MN1697 in MN)

🟢
Initial NPI Registration & Enumeration September 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Jay Petersen. Be the first to share your experience!

Sign in to leave a review for Dr. Jay Petersen

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1801999388
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 07, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

3333 Hazelton Rd

Edina, MN 554354204

Phone: 9529265300

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.