Lexie McKenna Peper, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046011657 Issued in IL

Practice address

1241 E Walnut St
Carbondale, IL 62901-5005

Phone

(618) 529-3452

NPI assigned

Jul 20, 2022

Last updated

Jul 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Optometry

Education

Indiana University - School of Optometry, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Complete Family Eyecare PCGroup PAC ID 3274729033, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Complete Family Eyecare, PC

  • Optometrist
  • Herrin, IL
  • NPI 1104131168
  Medicare reassignment Care Compare group NPD
• Complete Family Eyecare of Carbondale, PC

  • Optometrist
  • Carbondale, IL
  • NPI 1518413863
  Medicare reassignment NPD
• Saum Burruss Optometry Inc

  dba Clear Vision Family Eye Care

  • Optometrist
  • Carbondale, IL
  • NPI 1780766378
  NPD
• Talley Medical-Surgical Eye Care Associates PC

  dba Talley Eye Institute

  • Ophthalmology Physician
  • Evansville, IN
  • NPI 1154319143

  Optometrist

  NPD

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1346975620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629180550",
            "telephone_number": "618-942-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 E WALNUT ST",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629015005",
            "telephone_number": "618-529-3452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3121 S Park Ave",
            "address_purpose": "LOCATION",
            "city": "Herrin",
            "state": "IL",
            "postal_code": "629483785",
            "country_code": "US",
            "telephone_number": "618-942-5465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEPER",
        "first_name": "LEXIE",
        "middle_name": "MCKENNA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M Hal Pearlman, M.D.
• Precious N Pedersen, MD
• Pediatric Group LLC
• Pediatric Group LLC
• Meeka Kay Pennington
• Rollin Morris Perkins III, MD
• Teneesha Perry
• Hassan Pervaiz, MD
• James S Peterson, PHD ABPN
• Dominic Lee Phemister, MD

• Optometrist in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.

Verify at the official NPI Registry.