Individual provider Active NPI

David O Peed, O. D.

  • Optometrist
  • Columbus, GA
National Provider Identifier
1407978828
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT001056 Issued in GA
Practice address
2515 Old Whittlesey Rd
Suite H
Columbus, GA 31909-3020
Phone
(706) 660-8880
Fax
(706) 660-8882
NPI assigned
Apr 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT001056 GA Primary

Addresses

Primary practice location

2515 Old Whittlesey Rd
Suite H
Columbus, GA 31909-3020

Mailing address

1639 Bradley Park Dr PMB 364
Columbus, GA 31904-3620
Phone (706) 660-8880

Other identifiers 2

IdentifierTypeStateIssuer
581904380OtherGATAX ID
00343065JMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20040310000797 GA Practitioner - Optometry 9133017056 Practice locations: Columbus, GA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr David O Peed OD Optometrist PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

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": "1175731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364428800000",
    "number": "1407978828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1639 BRADLEY PARK DR PMB 364",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043620",
            "telephone_number": "706-660-8880",
            "fax_number": "706-660-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 OLD WHITTLESEY RD",
            "address_2": "SUITE H",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319093020",
            "telephone_number": "706-660-8880",
            "fax_number": "706-660-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEED",
        "first_name": "DAVID",
        "middle_name": "O",
        "credential": "O. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-05",
        "last_updated": "2013-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "581904380",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00343065J",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.