Active NPI
Rachel Sullivan Peyton, OD
- Optometrist
- Troy, MO
National Provider Identifier
1275265209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2022024193
- Practice address
- 84 Professional Pkwy
Troy, MO 63379-2822 - Phone
- (636) 528-2020
- NPI assigned
- Jun 28, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 2022024193 | MO | Primary |
Addresses
Primary practice location
84 Professional Pkwy
Troy, MO 63379-2822
Mailing address
84 Professional Pkwy
Troy, MO 63379-2822
Phone (636) 528-2020
Other names 1
- Rachel Nicole Sullivan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- 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 Missouri St Louis - School of Optometry, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
84 Professional Pkwy
Troy, MO 63379-2822
Phone (636) 528-2020
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022024193 | MO | MD | Optometrist |
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.
-
- Optometrist
- Troy, MO
- NPI 1215061957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657065600000",
"number": "1275265209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84 PROFESSIONAL PKWY",
"city": "TROY",
"state": "MO",
"postal_code": "633792822",
"telephone_number": "636-528-2020",
"fax_number": "636-528-7361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "84 PROFESSIONAL PKWY",
"city": "TROY",
"state": "MO",
"postal_code": "633792822",
"telephone_number": "636-528-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEYTON",
"first_name": "RACHEL",
"middle_name": "SULLIVAN",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-28",
"last_updated": "2022-07-06",
"certification_date": "2022-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2022024193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "SULLIVAN",
"middle_name": "NICOLE",
"credential": "OD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Troy, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.