Active NPI
McPeak Vision Partners PLLC
- Ophthalmology Physician
- Glasgow, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- MCPEAK VISION PARTNERS PLLC
- Practice address
- 108 Bravo Blvd
Glasgow, KY 42141 - Phone
- (270) 781-4909
- Fax
- (270) 843-9678
- NPI assigned
- Dec 7, 2005
- Last updated
- Mar 17, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph Gira, MD
- Title
- Owner/President
- Phone
- (314) 909-0633
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
108 Bravo Blvd
Glasgow, KY 42141
Mailing address
108 Bravo Blvd
Glasgow, KY 42141-3478
Phone (270) 651-2181
Other practice location 1
1403 Andrea St
Bowling Green, KY 42104-3335
Phone (270) 781-4909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930078621 | KY | DME Supplier - Physician - Optometrist | 5092784033 | Practice locations: Bowling Green, KY |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Des Peres, MO
- NPI 1861481152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647475200000",
"number": "1316922891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 BRAVO BLVD",
"city": "GLASGOW",
"state": "KY",
"postal_code": "421413478",
"telephone_number": "270-651-2181",
"fax_number": "270-651-2183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 BRAVO BLVD",
"city": "GLASGOW",
"state": "KY",
"postal_code": "42141",
"telephone_number": "270-781-4909",
"fax_number": "270-843-9678"
}
],
"practiceLocations": [
{
"address_1": "1403 Andrea St",
"address_purpose": "LOCATION",
"city": "Bowling Green",
"state": "KY",
"postal_code": "421043335",
"country_code": "US",
"telephone_number": "270-781-4909",
"fax_number": "270-843-9678",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MCPEAK VISION PARTNERS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-07",
"last_updated": "2022-03-17",
"certification_date": "2022-03-17",
"status": "A",
"authorized_official_last_name": "GIRA",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "314-909-0633",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glasgow, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.