Peter L Emer, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1725-035 Issued in WI

Practice address

3612 Roosevelt Rd
Kenosha, WI 53142-7230

Phone

(262) 652-1689

Fax

(262) 652-4345

NPI assigned

Sep 17, 2005

Last updated

Jun 4, 2008By the provider in NPPES

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 WI

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, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emer Eye Care SCGroup PAC ID 0749561801, 3 clinicians

Practice addresses (Care Compare)

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.

• Emer Eye Care S.C.

  • Optometrist
  • Kenosha, WI
  • NPI 1871036061
  Medicare reassignment Care Compare group NPD Authorized official
• Peter L. Emer, O.D.

  • Optometrist
  • Kenosha, WI
  • NPI 1558598870
  Authorized official Same address or phone

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

{
    "created_epoch": "1126915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212537600000",
    "number": "1194710988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3612 ROOSEVELT RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427230",
            "telephone_number": "262-652-1689",
            "fax_number": "262-652-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 ROOSEVELT RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427230",
            "telephone_number": "262-652-1689",
            "fax_number": "262-652-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMER",
        "first_name": "PETER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-17",
        "last_updated": "2008-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1725-035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38521900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Knute Elson, MD, MPH
• Christopher Aaron Elwell, DPT
• Ember and Oak
• Emer Eye Care S.C.
• Benjamin Emer, O.D.
• Encompass Remote Inc
• Andrew Joseph Endl
• Endocrine Clinic of Kenosha , S.C.
• Michael Aaron Engel, DPM
• Rhianon Lyn Engelbrecht, REGISTERED NURSE

• Optometrist in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; 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.