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

Dr. Cody Peterson, OD

Individual provider Optometrist · NPI 1922441245

Dr. Cody Peterson, OD is an Optometry in Mountain Home AFB, Idaho. Qualified in 2013, 13 years ago. Accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
13
Licensed in
ID
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

90 Hope Dr Bldg 6000
Mountain Home AFB, ID 83648-1062
Phone: (208) 828-7250
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence ODP-100285 (ID)

Record details

NPI number1922441245
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedApril 17, 2013
Last updated in NPPESJuly 19, 2024
Certification dateJuly 19, 2024
Mailing address90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mountain Home AFB