Provider Demographics
NPI:1447385380
Name:STERZING, PETER R (OD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:R
Last Name:STERZING
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:608 WESTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MARSHALLTOWN
Mailing Address - State:IA
Mailing Address - Zip Code:50158-3853
Mailing Address - Country:US
Mailing Address - Phone:641-753-8887
Mailing Address - Fax:641-753-6758
Practice Address - Street 1:2802 S CENTER ST
Practice Address - Street 2:WALMART VISION CENTER
Practice Address - City:MARSHALLTOWN
Practice Address - State:IA
Practice Address - Zip Code:50158-4708
Practice Address - Country:US
Practice Address - Phone:641-753-3169
Practice Address - Fax:641-753-6758
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA01578152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA18007Medicare ID - Type Unspecified