Dr Peter Disalvo, OD - Medicare Optometrist in Santa Rosa, CA

Dr Peter Disalvo, OD is a medicare enrolled "Optometrist" provider in Santa Rosa, California. His current practice location is 2320 Midway Dr, Santa Rosa, California. You can reach out to his office (for appointments etc.) via phone at (707) 526-2020.

Dr Peter Disalvo is licensed to practice in California (license number CA5653T) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114088796.

Contact Information

Dr Peter Disalvo, OD
2320 Midway Dr,
Santa Rosa, CA 95405-5017
(707) 526-2020
(707) 526-2032



Healthcare Provider's Profile

Full NameDr Peter Disalvo
GenderMale
SpecialityOptometrist
Location2320 Midway Dr, Santa Rosa, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114088796
  • Provider Enumeration Date: 12/13/2006
  • Last Update Date: 03/27/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3072742527
  • Enrollment ID: I20140224001533

Medical Identifiers

Medical identifiers for Dr Peter Disalvo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114088796NPI-NPPES
SD0056530MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist CA5653T (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Peter Disalvo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Peter Disalvo, OD
2624 Knolls Dr,
Santa Rosa, CA 95405-8302

Ph: (510) 684-7788
Dr Peter Disalvo, OD
2320 Midway Dr,
Santa Rosa, CA 95405-5017

Ph: (707) 526-2020

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› Verified 5 days ago


Optometrist in Santa Rosa, CA

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