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Brayden Petersen, OD — NPI 1932767753, Sandpoint, ID | NPI Central

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NPI 1932767753

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Brayden Petersen, OD

NPI 1932767753 · Optometrist · Sandpoint, ID

Provider details

NPI number: 1932767753
Entity type: Individual
Primary specialty: OptometristEye and Vision Services Providers
Credential: OD
Sex: Male
Sole proprietor: No
License: OD60970822 (WA)

Specialties & taxonomies

OptometristPrimary152W00000XLicense ODP100472 (ID)
Eye and Vision Services Providers
Optometrist152W00000XLicense OD60970822 (WA)
Eye and Vision Services Providers

Practice location

307 S 1st Ave

Sandpoint, ID 83864-1201

Phone: (208) 263-8501

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

307 S 1st Ave

Sandpoint, ID 83864-1201

Additional practice locations (2)

513 E Hastings Rd Ste C
Spokane, WA 99218-1977
Phone: (509) 328-2632
1720 N Hamilton St
Spokane, WA 99207-2474
Phone: (509) 328-2632

Registry dates

Enumerated: 2019-06-05
Last updated: 2019-08-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.