Individual provider Active NPI

Hunter Peterson, OD

  • Optometrist
  • Alexandria, LA
National Provider Identifier
1225719826
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1989-935AT Issued in LA
Practice address
231 Windermere Blvd
Alexandria, LA 71303-3538
Phone
(318) 487-2020
NPI assigned
Jul 26, 2023
Last updated
Apr 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1989-935AT LA Primary

Addresses

Primary practice location

231 Windermere Blvd
Alexandria, LA 71303-3538

Mailing address

231 Windermere Blvd
Alexandria, LA 71303-3538
Phone (318) 487-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20231009000439 LA Practitioner - Optometry 3577918788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Texas Medical School at Houston, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

231 Windermere Blvd
Alexandria, LA 71303-3538
Phone (318) 487-2020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.92 of 100Reported as group
Quality
78.04
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1989-935ATLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Alexandria Eye and Laser Center, LLC CurrentSince Aug 15, 2023 Accepting new patients
Alexandria Eye and Laser Center, LLC CurrentSince Aug 15, 2023 Accepting new patients

Locations

231 Windermere Blvd
Alexandria, LA 71303
Phone (318) 445-7770

1008 S 6th St
Leesville, LA 71446
Phone (337) 392-1994

65 Medical Park Blvd
Pineville, LA 71360
Phone (318) 445-6363

Interoperability endpoints

  • Direct secure messaging: hpeterson@laeye.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1225719826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 WINDERMERE BLVD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033538",
            "telephone_number": "318-487-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 WINDERMERE BLVD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033538",
            "telephone_number": "318-487-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "HUNTER",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-26",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1989-935AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.