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

Dr. Wyatt Peterson, OD

Individual provider Optometrist · NPI 1902035934

Dr. Wyatt Peterson, OD is an Optometry in Eden Prairie, Minnesota. Graduated from Southern California College of Optometry in 2009, 17 years ago. Practices with Clarkson Optometry Inc, a 82-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
17
Trained at
Southern California College of Optometry
Licensed in
MN
In the registry since
2009
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

10255 Summer Pl
Eden Prairie, MN 55347-4719
Phone: (612) 770-7632
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 9721 Lyndale Ave S, Bloomington, MN 55420-4232 — (952) 884-8338
  • 7872 Market Blvd, Chanhassen, MN 55317-9440 — (952) 934-1424
  • 1731 17th Ave E, Shakopee, MN 55379-3372 — (952) 445-5600

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3180 (MN)

Record details

NPI number1902035934
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 12, 2009
Last updated in NPPESFebruary 19, 2020
Certification dateFebruary 19, 2020

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated 2009 (17 years in practice)
Group practice Clarkson Optometry Inc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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