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

Dr. Thomas G Peterson, OD

Individual provider Optometrist · NPI 1114043387

Dr. Thomas G Peterson, OD is an Optometry in Shawano, Wisconsin. Graduated from University of Missouri St Louis - School of Optometry in 1989, 37 years ago. Practices with Shoptikal LLC, a 192-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
37
Trained at
University of Missouri St Louis - School of Optometry
Licensed in
WI
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

150A County Road B
Shawano, WI 54166
Phone: (715) 526-3163
Fax: (715) 526-4019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2324 (WI)

Record details

NPI number1114043387
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedMarch 21, 2007
Last updated in NPPESJuly 22, 2018

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 1989 (37 years in practice)
Group practice Shoptikal Llc — 192 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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