Organization · Type 2 NPI

Stacy Petersen Medical Group, P.c.

Ophthalmology Physician · Riverside, CA

NPI number 1194677955 Active

Practice location

4445 Magnolia Ave
Riverside, CA 92501

Call (949) 991-4172 Map

Fax (949) 288-0429

Mailing address

26791 Aliso Creek Rd # 1018
Aliso Viejo, CA 92656-2887

Specialties and licenses

TaxonomyCodeLicense
Ophthalmology Physician Primary 207W00000XNone listed

Ophthalmology Physician: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services,…

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About NPI 1194677955

Stacy Petersen Medical Group, P.c.'s National Provider Identifier is 1194677955, issued on Feb 12, 2026. The primary taxonomy on file is Ophthalmology Physician (207W00000X), and the practice location is in Riverside, CA. The record was last updated on Feb 12, 2026.