Peak Vision Eye Surgery PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

5692A Issued in WY

Legal business name

PEAK VISION EYE SURGERY PC

Practice address

1208 Hilltop Dr
Suite 200
Rock Springs, WY 82901-5857

Phone

(307) 382-4114

Fax

(307) 382-4131

NPI assigned

Sep 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Peter M Jensen, D.O.NPI 1306826938

Title

President

Phone

(307) 382-4114

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter Merrill Jensen, D.O.

  • Ophthalmology Physician
  • Rock Springs, WY
  • NPI 1306826938
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1164618369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 HILLTOP DR",
            "address_2": "SUITE 200",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015857",
            "telephone_number": "307-382-4114",
            "fax_number": "307-382-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 HILLTOP DR",
            "address_2": "SUITE 200",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015857",
            "telephone_number": "307-382-4114",
            "fax_number": "307-382-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK VISION EYE SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-382-4114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WY",
            "license": "5692A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawneen Pate
• Apexa Jignesh Patel
• Nishit Kumar H Patel
• Prachi R Pawar, MD
• Rahul N Pawar, MD
• Ashely Pedersen
• Daniel Cole Pedersen, PA-C
• Cara R Pedri
• Gary G Pedri, RPH
• Tony G Pedri, MD

• Optometrist in Rock Springs, WY
• Providers in Rock Springs, WY by specialty
• Optometrist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.