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

Dr. Roger Leslie Petersen, OD

Individual provider Optometrist · NPI 1679515787

Dr. Roger Leslie Petersen, OD is an Optometrist in Higginsville, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
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

1817 Main St
Higginsville, MO 64037-1524
Phone: (660) 584-2956
Fax: (660) 584-3956
Show map & directions

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence TO2272 (MO)

Record details

NPI number1679515787
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedJune 12, 2006
Last updated in NPPESOctober 29, 2016

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