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

Jason Petersen, OD

Individual provider Optometrist · NPI 1407235948

Jason Petersen, OD is an Optometry in Sandpoint, Idaho. Graduated from Ohio State University - College of Optometry in 2015, 11 years ago. Practices with Eye Clinic of Sandpoint PA, a 2-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
11
Trained at
Ohio State University - College of Optometry
Licensed in
ID
In the registry since
2015
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

307 S 1st Ave
Sandpoint, ID 83864-1201
Phone: (208) 263-8501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence ODP-100336 (ID)

Record details

NPI number1407235948
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 28, 2015
Last updated in NPPESMay 6, 2020
Certification dateMay 6, 2020
Mailing address307 S 1st Ave, Sandpoint, ID 83864-1201

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2015 (11 years in practice)
Group practice Eye Clinic Of Sandpoint Pa — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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