Active NPI
Trevor Peden, OD
- Optometrist
- London, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2246DT
- Practice address
- 503 N Main St
London, KY 40741-1217 - Phone
- (606) 877-1877
- Fax
- (606) 877-0082
- NPI assigned
- Jun 23, 2021
- 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 | 2246DT | KY | Primary |
Addresses
Primary practice location
503 N Main St
London, KY 40741-1217
Mailing address
503 N Main St
London, KY 40741-1217
Phone (606) 877-1877
Other practice location 1
355 Langdon St
Somerset, KY 42503-2792
Phone (606) 679-7461
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2246DT | Other | KY | KENTUCKY OPTOMETRY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210701003837 | KY | Practitioner - Optometry | 9739580341 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Downey Eye Clinic, PLLCHuffman and Huffman, PSC
Practice addresses (Care Compare)
1463 Campbellsville Rd
Columbia, KY 42728-2263
Phone (270) 384-6043
503 N Main St
London, KY 40741-1217
Phone 6068771877114
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.88 of 100
- Quality
- 83.87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.45
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2246DT | KY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Downey Eye Clinic, PLLC | Optometrist | Current | Accepting new patients |
| Huffman and Huffman PSC | Optometrist | Current | Accepting new patients |
| Downey Eye Clinic, PLLC | Optometrist | Current | Accepting new patients |
| Huffman and Huffman, PSC | Optometrist | Current | Accepting new patients |
Locations
1463 Campbellsville Rd
Columbia, KY 42728
Phone (270) 384-6043
1848 S US Highway 421
Harlan, KY 40831
Phone (606) 573-6928
161 Citizens Ln
Hazard, KY 41701
Phone (606) 436-2020
100 Fortress Properties St
Ste 1
London, KY 40741
Phone 6068771877114
100 Fortress Properties St
London, KY 40741
503 N Main St
London, KY 40741
Phone 6068771877102
1502 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 248-0932
310 Steve Dr
Ste 1
Russell Springs, KY 42642
Phone (270) 866-4414
355 Langdon St
Somerset, KY 42503
Phone (606) 677-0683
Interoperability endpoints
- tpedenod@huffmanandhuffman.direct.eyemdemr.com
Organizations & group practices 6
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
- Russell Springs, KY
- NPI 1083406490
-
- Durable Medical Equipment & Medical Supplies
- Harlan, KY
- NPI 1669906863
Optometrist
-
- Ophthalmology Physician
- Somerset, KY
- NPI 1396813978
-
- Durable Medical Equipment & Medical Supplies
- Hazard, KY
- NPI 1225562523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624406400000",
"number": "1336718378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 N MAIN ST",
"city": "LONDON",
"state": "KY",
"postal_code": "407411217",
"telephone_number": "606-877-1877",
"fax_number": "606-877-0082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 N MAIN ST",
"city": "LONDON",
"state": "KY",
"postal_code": "407411217",
"telephone_number": "606-877-1877",
"fax_number": "606-877-0082"
}
],
"practiceLocations": [
{
"address_1": "355 Langdon St",
"address_purpose": "LOCATION",
"city": "Somerset",
"state": "KY",
"postal_code": "425032792",
"country_code": "US",
"telephone_number": "606-679-7461",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEDEN",
"first_name": "TREVOR",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-23",
"last_updated": "2021-06-23",
"certification_date": "2021-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "2246DT",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KENTUCKY OPTOMETRY LICENSE",
"identifier": "2246DT",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in London, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.