Individual provider Active NPI

Peter Brett Toman, O.D.

  • Optometrist
  • Suwanee, GA
National Provider Identifier
1245372010
Registry record updated Oct 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002749 Issued in GA
Practice address
1245 Water View LN
Suwanee, GA 30024-6871
Phone
(434) 441-0640
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000681 VA
Optometrist 152W00000X OPT002749 GA Primary

Addresses

Primary practice location

1245 Water View LN
Suwanee, GA 30024-6871

Mailing address

1245 Water View LN
Suwanee, GA 30024-6871
Phone (434) 441-0640

Other identifiers 2

IdentifierTypeStateIssuer
OPT002749OtherGAOPTOMETRIC LICENSE
0618000681OtherVATPA OPTOMETRIC LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20131211000245 GA Practitioner - Optometry 5294886552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarity Vision Group LLCGroup PAC ID 5799083846, 2 clinicians

Practice addresses (Care Compare)

1780 Peachtree Pkwy
Suite 301
Cumming, GA 30041-6834
Phone (770) 205-2520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity Vision Group, LLC Optometrist CurrentSince Jan 1, 2016 Accepting new patients

Locations

1780 Peachtree Pkwy
#301
Cumming, GA 30041
Phone (770) 205-2520

Organizations & group practices 1

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382313600000",
    "number": "1245372010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 WATER VIEW LN",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246871",
            "telephone_number": "434-441-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WATER VIEW LN",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246871",
            "telephone_number": "434-441-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMAN",
        "first_name": "PETER",
        "middle_name": "BRETT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2013-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000681",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRIC LICENSE",
            "identifier": "OPT002749",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPA OPTOMETRIC LICENSE",
            "identifier": "0618000681",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.