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Jay Petersen, O.D.
NPI 1801999388 · Optometrist · Bloomington, MN
Jay Petersen, O.D. is a Optometrist provider in Bloomington, MN (NPI 1801999388).
Provider details
- NPI number
- 1801999388
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MN1697 (MN)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
N-236 North Garden
Mall of America
Bloomington, MN 55425
Phone: (952) 854-4500
Fax: (952) 858-8525
Street-level locationGet directions
Mailing address
3333 Hazelton Rd
Edina, MN 55435-4204
Registry dates
- Enumerated
- 2006-09-07
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jay Petersen's NPI number?
- Jay Petersen's National Provider Identifier (NPI) is 1801999388, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jay Petersen's specialty?
- Jay Petersen is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Jay Petersen located?
- Jay Petersen's practice location on file with NPPES is N-236 North Garden, Bloomington, MN 55425.
- What is Jay Petersen's phone number?
- The practice phone number listed in the NPPES registry for Jay Petersen is (952) 854-4500.
- Is Jay Petersen's NPI active?
- Yes — Jay Petersen's NPI (1801999388) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.