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Deactivated NPI 1255354775 Deactivated / Inactive NPI Male Practitioner

Dr. Ambrose B Peterman , OD

Optometrist • Pottstown, PA

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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. Ambrose Peterman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 25, 2006
NPI Deactivation Date February 14, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Ambrose Peterman, OD was a registered Optometrist practicing in Pottstown, PA. Throughout an active medical career spanning 11 years, Dr. Peterman provided care at the practice location at 541 HIGH STREET until profile deactivation on 2017-02-14.

Practice Location & Contact Primary Location

Practice Address

541 High Street

Pottstown, PA 19464

Telephone 6103261603
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Pottstown, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.0 Yrs
State Avg: 24.8 Yrs
Regional Practice Density
15 Specialists

Practicing in Pottstown, PA (2764 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 PA OE003998P

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 February 14, 2017

Record deactivated on February 14, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 541 HIGH STREET, POTTSTOWN, PA 19464 (Tel: 6103261603)

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Updated Business Mailing Address July 08, 2007

Registered at 541 HIGH STREET, POTTSTOWN, PA 194640795 (Tel: 6103261603)

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Provider Name / Credentials Updated July 08, 2007

Recorded as AMBROSE PETERMAN, OD

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

Optometrist (License #OE003998P in PA)

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Initial NPI Registration & Enumeration July 25, 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: 1255354775
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2006
Last Update: July 08, 2007
Deactivation Date: February 14, 2017

Mailing Address

541 High Street

Pottstown, PA 194640795

Phone: 6103261603

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.