Roger Petersen, OD
NPI 1679515787 · Optometrist · Higginsville, MO
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Roger Petersen, OD is a Optometrist provider in Higginsville, MO (NPI 1679515787).
Provider details
- NPI number
- 1679515787
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- Yes
- License
- TO2272 (MO)
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
20 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
- 2006-06-12
- Last updated
- 2016-10-29
Frequently asked questions
- What is Roger Petersen's NPI number?
- Roger Petersen's National Provider Identifier (NPI) is 1679515787, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Roger Petersen's specialty?
- Roger Petersen is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Roger Petersen located?
- Roger Petersen's practice location on file with NPPES is 1817 Main St, Higginsville, MO 64037-1524.
- What is Roger Petersen's phone number?
- The practice phone number listed in the NPPES registry for Roger Petersen is (660) 584-2956.
- Does Roger Petersen accept Medicare?
- Roger Petersen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Roger Petersen's NPI active?
- Yes — Roger Petersen's NPI (1679515787) is active in the NPPES registry as of the last update on 2016-10-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.