Joseph Conner Peters, OD
Optometrist in Bettendorf, IA. Individual provider (NPI-1).
NPI number1902399298
StatusActive
Last updated in NPPESJun 11, 2018
Details
- NPI
- 1902399298
- Entity type
- Individual (NPI-1)
- Name
- Joseph Conner Peters
- Credential
- OD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 11, 2018
- Last updated
- Jun 11, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPTOMETRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 092516 | IA | Yes |
Practice location
1875 Middle RdBettendorf, IA 52722-3203
Phone 563-359-4446 · Fax 563-359-0381
Mailing address
1875 Middle RdBettendorf, IA 52722-3203
Phone 563-359-4446 · Fax 563-359-0381
Other practice locations
251 N 6th Ave
Eldridge, IA 52748-1759
Eldridge, IA 52748-1759
Phone 563-285-4001 · Fax 563-285-6121
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 15 Optometrist providers in Bettendorf · All 1,043 providers in Bettendorf
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