Kyle Peter, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1438 Issued in NE

Practice address

2950 Pine Lake Rd
Lincoln, NE 68516-6019

Phone

(402) 420-6109

NPI assigned

Apr 16, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DRS Crotty and Crotty PCGroup PAC ID 8426197492, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• IA HMO

Interoperability endpoints

• Direct secure messaging: kyle.peter@lifetimevision.eyefinity-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• DRS Crotty & Crotty PC

  • Optometrist
  • Auburn, NE
  • NPI 1316088081
  Medicare reassignment Care Compare group NPD
• Clear Vision Eye Care, P.C.

  • Optometrist
  • Lincoln, NE
  • NPI 1891982781
  Medicare reassignment NPD
• Professional Eyecare South Pointe, Inc

  • Optometrist
  • Lincoln, NE
  • NPI 1902007529
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446681600000",
    "number": "1053708099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7021 S 33RD ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685164886",
            "telephone_number": "402-890-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 PINE LAKE RD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685166019",
            "telephone_number": "402-420-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETER",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dan Person
• Personal Growth Counseling, LLC
• Scott Michael Persson, PHARMD
• Haley Pertzborn
• Jessica Bea Peschel
• Trevor Michael Peter
• Susan Peterlin, PA-C
• Abigail Peters
• Ashley Peters
• Ellinor Peters

• Optometrist in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.