Individual provider Active NPI

Trevor Peden, OD

  • Optometrist
  • London, KY
National Provider Identifier
1336718378
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2246DT Issued in KY
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

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2246DTOtherKYKENTUCKY 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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, PLLC 4 clinicians
Huffman and Huffman, PSC 15 clinicians

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 100Reported as group
Quality
83.87
Promoting interoperability
100
Improvement activities
40
Cost
76.45

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2246DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Downey Eye Clinic, PLLC Optometrist CurrentSince Apr 30, 2025 Accepting new patients
Huffman and Huffman PSC Optometrist CurrentSince Jul 1, 2021 Accepting new patients
Downey Eye Clinic, PLLC Optometrist CurrentSince Apr 30, 2025 Accepting new patients
Huffman and Huffman, PSC Optometrist CurrentSince Jul 1, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.