Individual provider Active NPI

Vernon Allen Peryea, OD

  • Optometrist
  • Peekskill, NY
National Provider Identifier
1376505396
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV0063211 Issued in NY
Practice address
1865 Main St
Oic Optical
Peekskill, NY 10566-2505
Phone
(914) 737-0437
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV0063211 NY Primary

Addresses

Primary practice location

1865 Main St
Oic Optical
Peekskill, NY 10566-2505

Mailing address

88 Putnam Rd
Cortlandt Manor, NY 10567-7446
Phone (845) 661-7498

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040322000678 NY Practitioner - Optometry 7416848304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1123 Route 82
Hopewell, NY 12533-6206
Phone (845) 221-5310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV0063211NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vernon Peryea,Optometrist LLC Optometrist Current Accepting new patients
Mignone Medical Eye Care, P.C. Past Accepting new patients
Empire Vision Center Inc Optometrist PastSince Feb 28, 2010 Accepting new patients
Empire Vision Center, Inc Past Accepting new patients

Locations

1123 Route 82
Hopewell Junction, NY 12533
Phone (845) 221-5310

Organizations & group practices 5

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288569600000",
    "number": "1376505396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 PUTNAM RD",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105677446",
            "telephone_number": "845-661-7498",
            "fax_number": "914-737-0437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 MAIN ST",
            "address_2": "OIC OPTICAL",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105662505",
            "telephone_number": "914-737-0437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERYEA",
        "first_name": "VERNON",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2010-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV0063211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peekskill, NY

Sources for this page

Verify at the official NPI Registry.