Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Brian Michael Peterson, OD

Individual provider Optometrist · NPI 1477987741

Dr. Brian Michael Peterson, OD is an Optometry in Ormond Beach, Florida. Qualified in 2013, 13 years ago. Practices with Star Medical Fl PLLC, an 8-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
13
Licensed in
FL
In the registry since
2013
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

900 W Granada Blvd Ste 1
Ormond Beach, FL 32174-5941
Phone: (386) 675-6599
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPC 4830 (FL)

Record details

NPI number1477987741
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedAugust 22, 2013
Last updated in NPPESJuly 9, 2026
Certification dateJuly 9, 2026
Mailing address1857 Old Tomoka Rd W, Ormond Beach, FL 32174-6704

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Star Medical Fl Pllc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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