Peter Urban, M.D.

Primary specialty

Ophthalmic Technician/TechnologistTaxonomy code 156FX1100X

License

ME0042819 Issued in FL

Practice address

555 N Byron Butler Pkwy
Perry, FL 32347-2315

Phone

(850) 584-2778

Fax

(850) 584-2790

NPI assigned

Apr 25, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Eyewearllc

  • Eyewear Supplier
  • Melbourne, FL
  • NPI 1518054956
  NPD (past)
• Florida Eye Consultants Inc

  • Medical Specialty Clinic/Center
  • Melbourne, FL
  • NPI 1962416511
  NPD (past)
• Sand Lake Imaging LLLP

  • Diagnostic Radiology Physician
  • Orlando, FL
  • NPI 1770565178
  NPD (past)

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256169600000",
    "number": "1104045103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N BYRON BUTLER PKWY",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323472315",
            "telephone_number": "850-584-2778",
            "fax_number": "850-584-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N BYRON BUTLER PKWY",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323472315",
            "telephone_number": "850-584-2778",
            "fax_number": "850-584-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBAN",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2009-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1100X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": "FL",
            "license": "ME0042819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicia Thomas, APRN
• Megan Ann Tucker, LPN
• Iris Danielle Turner
• Amanda Tuten
• Brittany D Upshaw
• Glenda Elaine Valentine, LMT
• Madeline Vernese, CCC-SLP
• Victoria House, Inc.
• Agustin Vilardo, M.D.
• Vision Arts Eye Care Center of Perry Inc

• All providers in Perry, FL
• Ophthalmic Technician/Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.