Jason Thomas St Peter, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4065 Issued in MA

Practice address

438 Main St
Suite 204
Middletown, CT 06457-3396

Phone

(888) 964-6681

Fax

(888) 662-0859

NPI assigned

Jun 15, 2006

Last updated

Jul 15, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in CT, NY, MA, NH4 enrollments

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 4

Specialty

Optometry

Education

New England College of Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jeffrey L Morer OD PCGroup PAC ID 7719870807, shared by 11 NPIs, 50 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Jeffrey L. Morer, OD, PC

  dba HealthDrive Eye Care Group

  • Optometrist
  • Middletown, CT
  • NPI 1679504161
  Medicare reassignment NPD
• Jeffrey L. Morer, OD, PC

  dba HealthDrive Eye Care Group

  • Optometrist
  • Dublin, OH
  • NPI 1477589687

  MA

  Medicare reassignment NPD
• Jeffrey L. Morer, OD, PC

  dba HealthDrive Eye Care Group

  • Optometrist
  • Framingham, MA
  • NPI 1477768059

  NY

  Medicare reassignment NPD
• Jeffrey L. Morer, OD, PC

  dba HealthDrive Eye Cre Group

  • Optometrist
  • Framingham, MA
  • NPI 1659568210

  NH

  Medicare reassignment NPD

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436918400000",
    "number": "1356385272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 WORCESTER ST",
            "address_2": "SUITE 130",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024823744",
            "telephone_number": "617-964-6681",
            "fax_number": "339-686-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 MAIN ST",
            "address_2": "SUITE 204",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573396",
            "telephone_number": "888-964-6681",
            "fax_number": "888-662-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST PETER",
        "first_name": "JASON",
        "middle_name": "THOMAS",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2015-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4065",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002465",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0847",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005854-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110014741A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004261210",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "W16242",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02865598",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3074722",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Stewart Spencer, MSW
• David Spiro Jr., LCSW
• Beverly Sposa, CRNA
• Spring Street Psychiatric Group
• Anne St Hilaire, LPC
• Kristen Stack, LCSW
• Kelsey Jane Staller, APRN-FNP
• Kayla Eileen Stalph
• Sharon Staniforth
• Elizabeth A Stankiewicz, APRN

• Optometrist in Middletown, CT
• Providers in Middletown, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.