Individual provider Active NPI

Peter J Sheridan, OD

  • Optometrist
  • Lovingston, VA
National Provider Identifier
1386741296
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001726 Issued in PA
Practice address
356 Front St
Lovingston, VA 22949-2360
Phone
(434) 385-5600
Fax
(434) 455-7172
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001726 PA Primary

Addresses

Primary practice location

356 Front St
Lovingston, VA 22949-2360

Mailing address

PO Box 1290
Forest, VA 24551-1290
Phone (434) 385-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20090601000503 PA Practitioner - Optometry 3971652538 Reassigns benefits to 1 organization
I20161205001160 VA Practitioner - Optometry 3971652538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David M Harman MD LLCGroup PAC ID 6305828062, 51 clinicians

Practice addresses (Care Compare)

191 Old Courthouse Rd
Appomattox, VA 24522-9853
Phone (434) 385-5600

Merit-based Incentive Payment System (MIPS)

Final score
91.89 of 100Reported as group
Quality
90.46
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
George Linsey O.D. P.C. Optometrist CurrentSince Jun 20, 2016 Accepting new patients
David M Harman MD LLC Optometrist CurrentSince Dec 1, 2016 Accepting new patients
Franklin Eye Care PC Optometrist PastSince Oct 29, 2015 Accepting new patients
Surgery Center of Central Virginia Inc. Past Accepting new patients
Irving I Criden & Scott Page OD PC Optometrist Past Accepting new patients

Locations

17633 Gunn Hwy
Odessa, FL 33556
Phone (813) 926-5700

1901 Ridgewood Rd
Wyomissing, PA 19610
Phone (610) 373-2300

4244 Virginia Ave
Collinsville, VA 24078
Phone (276) 647-3766

125 Executive Dr
Ste E
Danville, VA 24541
Phone (434) 799-5600

1835 Graves Mill Rd
#2
Forest, VA 24551
Phone (434) 385-5151

1825 Graves Mill Rd
Forest, VA 24551
Phone (434) 385-5650

2108 Langhorne Rd
Lynchburg, VA 24501
Phone (434) 845-2020

1503 Enterprise Dr
Lynchburg, VA 24502
Phone (434) 832-0700

2047 Hamilton Blvd
South Boston, VA 24592
Phone (434) 572-9733

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1386741296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1290",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245511290",
            "telephone_number": "434-385-5600",
            "fax_number": "434-455-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 FRONT ST",
            "city": "LOVINGSTON",
            "state": "VA",
            "postal_code": "229492360",
            "telephone_number": "434-385-5600",
            "fax_number": "434-455-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "PETER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lovingston, VA

Sources for this page

Verify at the official NPI Registry.