Individual provider Active NPI

Eric C. McPeak, O.D.

  • Optometrist
  • Hiawatha, KS
National Provider Identifier
1225031560
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1575 Issued in KS
Practice address
706 Oregon St
Hiawatha, KS 66434-2232
Phone
(785) 742-3021
Fax
(785) 742-3061
NPI assigned
May 31, 2005
Reactivated
Apr 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1575 KS Primary
Optometrist 152W00000X 1197 NE

Addresses

Primary practice location

706 Oregon St
Hiawatha, KS 66434-2232

Mailing address

PO Box 336
Hiawatha, KS 66434-2232
Phone (785) 742-3021

Other identifiers 2

IdentifierTypeStateIssuer
100249759-00MedicaidNE
100357060CMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, NE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110726000403 KS Practitioner - Optometry 7618182585 Reassigns benefits to 1 organization
I20110726000441 NE Practitioner - Optometry 7618182585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1823 Chase St
Falls City, NE 68355-2020
Phone (402) 245-2017

706 Oregon St
Hiawatha, KS 66434-2232
Phone (785) 742-3021

Merit-based Incentive Payment System (MIPS)

Final score
60.66 of 100Reported as individual
Quality
31.74
Promoting interoperability
94
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1197NEMDClinical Psychologist
008OKMDMarriage & Family Therapist
1575KSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eric C McPeak OD PA Optometrist CurrentSince Mar 1, 2003 Accepting new patients
Eric C McPeak OD PA Optometrist CurrentSince Mar 1, 2003 Accepting new patients

Locations

706 Oregon St
Hiawatha, KS 66434
Phone (785) 742-3021

1823 Chase St
Falls City, NE 68355
Phone (402) 245-2017

Interoperability endpoints

  • Direct secure messaging: ericmcpeak@mcpeakoptometry.direct.eyemdemr.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398297600000",
    "number": "1225031560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 336",
            "city": "HIAWATHA",
            "state": "KS",
            "postal_code": "664342232",
            "telephone_number": "785-742-3021",
            "fax_number": "785-742-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 OREGON ST",
            "city": "HIAWATHA",
            "state": "KS",
            "postal_code": "664342232",
            "telephone_number": "785-742-3021",
            "fax_number": "785-742-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPEAK",
        "first_name": "ERIC",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2014-04-24",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1575",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1197",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100249759-00",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100357060C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiawatha, KS

Sources for this page

Verify at the official NPI Registry.