Tayler Peachey, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.010903 Issued in IL

Practice address

719 Almar Pkwy
Bourbonnais, IL 60914-2313

Phone

(815) 932-1116

NPI assigned

Jul 9, 2015

Last updated

Nov 6, 2019By the provider in NPPES

Sex

Female

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 IL

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

Illinois College of Optometry at Chicago, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brent Dunlap OD PCGroup PAC ID 4183649510, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Brent Dunlap OD PC

  dba DRS Long & Dunlap

  • Optometrist
  • Bourbonnais, IL
  • NPI 1073647293
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1053795906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 ALMAR PKWY",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142313",
            "telephone_number": "815-932-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 ALMAR PKWY",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142313",
            "telephone_number": "815-932-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEACHEY",
        "first_name": "TAYLER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-09",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.010903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Azra N Pappa, DO
• Dhaval Patel, D.O.
• Pathik K Patel, DMD
• Shefali Patel, MPT
• Susan Patel, DDS
• Derek Pequette, PT
• Eric Perez
• Heather Elizabeth Perez, PSY.D.
• Virginia Perez, LCSW, LICSW
• Ashley Perry, PTA

• Optometrist in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.