Active NPI
Anthony Peterson, OD
- Optometrist
- Duncanville, TX
National Provider Identifier
1255474219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 7032TG
- Practice address
- 150 E Highway 67
Suite 120
Duncanville, TX 75137-4476 - Phone
- (972) 298-3937
- Fax
- (972) 298-2170
- NPI assigned
- Feb 15, 2007
- Last updated
- Nov 13, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 7032TG | TX | Primary |
Addresses
Primary practice location
150 E Highway 67
Suite 120
Duncanville, TX 75137-4476
Mailing address
150 E Highway 67
Suite 120
Duncanville, TX 75137-4476
Phone (972) 298-3937
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 269216 | Other | TX | MEDICARE PTAN |
| 196604604 | Other | TX | MEDICAID PROVIDER TPI# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
150 E Hwy 67
Suite 120
Duncanville, TX 75137-4495
Phone (972) 298-3937
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7032TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alp Vision Care Services, PLLC | Optometrist | Current | Accepting new patients |
Locations
150 E Highway 67
Ste 120
Duncanville, TX 75137
Phone (832) 651-9016
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384300800000",
"number": "1255474219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 E HIGHWAY 67",
"address_2": "SUITE 120",
"city": "DUNCANVILLE",
"state": "TX",
"postal_code": "751374476",
"telephone_number": "972-298-3937",
"fax_number": "972-298-2170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 E HIGHWAY 67",
"address_2": "SUITE 120",
"city": "DUNCANVILLE",
"state": "TX",
"postal_code": "751374476",
"telephone_number": "972-298-3937",
"fax_number": "972-298-2170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-15",
"last_updated": "2013-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "7032TG",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "269216",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID PROVIDER TPI#",
"identifier": "196604604",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Duncanville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; 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.