Individual provider Active NPI

Bailey Peterson, OD

  • Ophthalmology Physician
  • Naples, FL
National Provider Identifier
1427666973
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
OPC5841 Issued in FL
Practice address
3880 Tamiami TRL N
Naples, FL 34103-3504
Phone
(239) 659-3937
Fax
(239) 659-3984
NPI assigned
Jul 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC005841 FL
Optometrist 152W00000X 2019021906 MO
Ophthalmology Physician 207W00000X OPC5841 FL Primary

Addresses

Primary practice location

3880 Tamiami TRL N
Naples, FL 34103-3504

Mailing address

3880 Tamiami TRL N
Naples, FL 34103-3504
Phone (239) 659-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210929000820 FL Practitioner - Optometry 4587061825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians

Practice addresses (Care Compare)

900 NW 17TH St
Bascom Palmer Eye Institute
Miami, FL 33136-1119
Phone (305) 243-5554

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
78.79
Promoting interoperability
100
Improvement activities
40
Cost
71.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC005841FLMDOptometrist
2019021906MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Optometrist CurrentSince Aug 24, 2021 Accepting new patients
University of Miami Current Accepting new patients
University of Miami CurrentSince Aug 24, 2021 Accepting new patients

Locations

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

900 NW 17th St
Miami, FL 33136
Phone (305) 243-6605

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

3880 Tamiami Trl N
Naples, FL 34103
Phone (239) 659-3037

Organizations & group practices 3

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": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1427666973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 TAMIAMI TRL N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341033504",
            "telephone_number": "239-659-3937",
            "fax_number": "239-659-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 TAMIAMI TRL N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341033504",
            "telephone_number": "239-659-3937",
            "fax_number": "239-659-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "BAILEY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC005841",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2019021906",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "OPC5841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.