Individual provider Active NPI

Peter Joseph Calvi Jr., O.D.

  • Corneal and Contact Management Optometrist
  • Greenville, TX
National Provider Identifier
1336277110
Registry record updated Sep 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
4735T Issued in TX
Practice address
7401 Interstate Highway 30
Greenville, TX 75402-7121
Phone
(903) 455-1064
NPI assigned
Mar 1, 2007
Last updated
Sep 4, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 4735T TX Primary

Addresses

Primary practice location

7401 Interstate Highway 30
Greenville, TX 75402-7121

Mailing address

7109 Dalewood LN
Dallas, TX 75214-1812
Phone (214) 827-2635

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090611000586 TX Practitioner - Optometry 5496805525 Practice locations: Greenville, TX

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7401 Interstate Hwy 30
Greenville, TX 75402-7121
Phone (903) 455-1064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4735TXMDMarriage & Family Therapist
4735TTXMDCorneal and Contact Management Optometrist

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220486400000",
    "number": "1336277110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7109 DALEWOOD LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752141812",
            "telephone_number": "214-827-2635",
            "fax_number": "214-827-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 INTERSTATE HIGHWAY 30",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754027121",
            "telephone_number": "903-455-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALVI",
        "first_name": "PETER",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2008-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "4735T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

Verify at the official NPI Registry.