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

Dr. Kimberly Peterson, OD

Individual provider Optometrist · NPI 1922141175

Dr. Kimberly Peterson, OD is an Optometry in Rialto, California. Graduated from Southern California College of Optometry in 1998, 28 years ago. Practices with Kimberly Peterson OD Inc, a 3-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
28
Trained at
Southern California College of Optometry
Licensed in
CA
In the registry since
2007
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

1850 N Riverside Ave Ste 100
Rialto, CA 92376-8071
Phone: (909) 421-3030
Fax: (909) 421-3059
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OP11094T (CA)

Record details

NPI number1922141175
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedFebruary 15, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated 1998 (28 years in practice)
Group practice Kimberly Peterson Od Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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