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Deactivated NPI 1689751885 Deactivated / Inactive NPI Male Practitioner

Dr. Steven Joseph Peterson , OD

Optometrist • Tracy, MN

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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. Steven Peterson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 01, 2006
NPI Deactivation Date January 01, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Steven Peterson, OD was a registered Optometrist practicing in Tracy, MN. Throughout an active medical career spanning 20 years, Dr. Peterson provided care at the practice location at 505 STATE STREET until profile deactivation on 2026-01-01.

Practice Location & Contact Primary Location

Practice Address

505 State Street

Tracy, MN 561751539

Telephone 5076293230
Fax 5076293230
Associated Practice Facility / Clinic
🏢 Pbr Optometrists Ltd Of Tracy Facility NPI 1659426658

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Tracy, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Tracy, MN (1178 Statewide)

Telehealth Adoption Rate
0.0% 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 MN 2056

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

8 Historical Events
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NPI Profile Deactivated January 01, 2026

Record deactivated on January 01, 2026

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2025

Optometrist (License #2056 in MN)

NPI Profile Active April 29, 2008

NPI status registered as active in NPPES database

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Updated Practice Location April 29, 2008

Registered at 505 STATE STREET, TRACY, MN 561751539 (Tel: 5076293230)

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Updated Business Mailing Address April 29, 2008

Registered at 505 STATE STREET, TRACY, MN 561751539 (Tel: 5076293230)

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Provider Name / Credentials Updated April 29, 2008

Recorded as STEVEN PETERSON, OD

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2008

Optometrist (License #2056 in MN)

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Initial NPI Registration & Enumeration November 01, 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: 1689751885
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2006
Last Update: April 29, 2008
Deactivation Date: January 01, 2026

Mailing Address

505 State Street

Tracy, MN 561751539

Phone: 5076293230

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.