Kimberly Peterson, O.D., Inc.
NPI 1003120452 · Optometrist · Rialto, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kimberly Peterson, O.D., Inc. is a Optometrist organization in Rialto, CA (NPI 1003120452).
Provider details
- NPI number
- 1003120452
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Kimberly Peterson, Owner(909) 421-3030
- License
- 11094T (CA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-07-27
- Last updated
- 2010-07-27
Frequently asked questions
- What is Kimberly Peterson, O.D., Inc.'s NPI number?
- Kimberly Peterson, O.D., Inc.'s National Provider Identifier (NPI) is 1003120452, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kimberly Peterson, O.D., Inc.?
- Kimberly Peterson, O.D., Inc. is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Kimberly Peterson, O.D., Inc. located?
- Kimberly Peterson, O.D., Inc.'s practice location on file with NPPES is 1850 N Riverside Ave, Rialto, CA 92376-8071.
- What is Kimberly Peterson, O.D., Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Kimberly Peterson, O.D., Inc. is (909) 421-3030.
- Does Kimberly Peterson, O.D., Inc. accept Medicare?
- Kimberly Peterson, O.D., Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kimberly Peterson, O.D., Inc.?
- The authorized official listed on Kimberly Peterson, O.D., Inc.'s NPPES record is Kimberly Peterson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kimberly Peterson, O.D., Inc.'s NPI active?
- Yes — Kimberly Peterson, O.D., Inc.'s NPI (1003120452) is active in the NPPES registry as of the last update on 2010-07-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.