Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brayden Petersen, OD

Individual provider Optometrist · NPI 1932767753

Brayden Petersen, OD is an Optometry in Sandpoint, Idaho. Graduated from Pacific University - College of Optometry in 2019, 7 years ago. Practices with Eye Clinic of Sandpoint PA, a 2-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Idaho and Washington.

Years since qualifying
7
Trained at
Pacific University - College of Optometry
Licensed in
ID, WA
In the registry since
2019
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

307 S 1st Ave
Sandpoint, ID 83864-1201
Phone: (208) 263-8501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1720 N Hamilton St, Spokane, WA 99207-2474 — (509) 328-2632
  • 513 E Hastings Rd Ste C, Spokane, WA 99218-1977 — (509) 328-2632

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence ODP100472 (ID)
Optometrist Taxonomy 152W00000X · Licence OD60970822 (WA)

Record details

NPI number1932767753
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 5, 2019
Last updated in NPPESAugust 8, 2019
Mailing address307 S 1st Ave, Sandpoint, ID 83864-1201

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2019 (7 years in practice)
Group practice Eye Clinic Of Sandpoint Pa — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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