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

Dr. Dane M Peterson, OD

Individual provider Optometrist · NPI 1285863530

Dr. Dane M Peterson, OD is an Optometry in St Anthony, Minnesota. Graduated from University of Missouri St Louis - School of Optometry in 2009, 17 years ago. Practices with Northwest Eye Clinic LLC, a 17-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Colorado and Minnesota.

Years since qualifying
17
Trained at
University of Missouri St Louis - School of Optometry
Licensed in
CO, MN
In the registry since
2009
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

2601 39th Ave NE Ste 1
St Anthony, MN 55421-4372
Phone: (763) 416-7600
Fax: (763) 416-7634
Show map & directions

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

Additional practice locations (2)

  • 8501 Golden Valley Rd Ste 100, Golden Valley, MN 55427-4472 — (763) 416-7600
  • 12000 Elm Creek Blvd N Ste 100, Maple Grove, MN 55369-7074 — (763) 416-7600

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3325 (MN)
Optometrist Taxonomy 152W00000X · Licence 2738 (CO)

Record details

NPI number1285863530
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 8, 2009
Last updated in NPPESMarch 17, 2020
Certification dateMarch 17, 2020
Mailing address8401 Golden Valley Rd Ste 330, Golden Valley, MN 55427-4488

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Graduated 2009 (17 years in practice)
Group practice Northwest Eye Clinic Llc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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