Owen Joseph Peters, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV6250 Issued in NY

Practice address

801 E 233Rd St
Bronx, NY 10466-3203

Phone

(347) 603-7125

Fax

(347) 603-7127

NPI assigned

Sep 24, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Sajo Optometric Care, PLLC

  • Optometrist
  • Bronx, NY
  • NPI 1124149760
  Medicare reassignment Authorized official
• Seth Pearl, Chiropractor, PC

  • Chiropractor
  • Harrison, NY
  • NPI 1043401797
  NPD (past)

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184724692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E 233RD ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104663203",
            "telephone_number": "347-603-7125",
            "fax_number": "347-603-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E 233RD ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104663203",
            "telephone_number": "347-603-7125",
            "fax_number": "347-603-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "OWEN",
        "middle_name": "JOSEPH",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV6250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02078146",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laiza Peters, LCSW
• Lydia Peters
• Maureen Peters, LMSW
• Melissa Peters
• Michelle Peters
• Medorie Petersen-Woodburn, LMSW
• Juliana Petersen
• Ciara Peterson, LCSW
• Jennifer Peterson, LMSW
• Lawanda Peterson, LCSW

• Optometrist in Bronx, NY
• Providers in Bronx, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.