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

Dr. Jay Petersen, OD

Individual provider Optometrist · NPI 1801999388

Dr. Jay Petersen, OD is an Optometrist in Bloomington, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
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

N-236 N Garden Mall Of America
Bloomington, MN 55425
Phone: (952) 854-4500
Fax: (952) 858-8525
Show map & directions

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence MN1697 (MN)

Record details

NPI number1801999388
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedSeptember 7, 2006
Last updated in NPPESJuly 8, 2007
Mailing address3333 Hazelton Rd, Edina, MN 55435-4204

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