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

Richard Nels Petersen, OD

Individual provider Optometrist · NPI 1407867161

Richard Nels Petersen, OD is an Optometry in Lancaster, California. Qualified in 2006, 20 years ago. Practices with Antelope Valley Optometric Center, Inc, a 3-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
20
Licensed in
CA
In the registry since
2006
Specialties on file
2
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

1745 W Avenue K Ste A
Lancaster, CA 93534-6502
Phone: (661) 942-8437
Fax: (661) 940-1959
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 0PT13129T (CA)
Optometrist Taxonomy 152W00000X · Licence 13129 (CA)

Record details

NPI number1407867161
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 10, 2006
Last updated in NPPESDecember 23, 2008

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Antelope Valley Optometric Center, Inc. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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