Individual provider Active NPI

Taylor Peters, OD

  • Optometrist
  • Mount Sterling, OH
National Provider Identifier
1447600150
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6489 Issued in OH
Practice address
277 Yankeetown St
Mt Sterling, OH 43143-9410
Phone
(740) 869-4882
Fax
(740) 869-7698
NPI assigned
Jun 14, 2016
Last updated
Mar 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6489 OH Primary

Addresses

Primary practice location

277 Yankeetown St
Mt Sterling, OH 43143-9410

Mailing address

PO Box 146
Mt Sterling, OH 43143-0146
Phone (740) 869-4882

Other practice location 1

340 Alexandersville Rd
Miamisburg, OH 45342-3644
Phone (937) 866-3471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20160915001601 OH Practitioner - Optometry 6800182940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

277 Yankeetown St
Mount Sterling, OH 43143-9410
Phone (740) 869-4882

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6489OHMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Optometric Management Group LLC Optometrist PastSince Aug 1, 2016 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1447600150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 146",
            "city": "MT STERLING",
            "state": "OH",
            "postal_code": "431430146",
            "telephone_number": "740-869-4882",
            "fax_number": "740-869-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 YANKEETOWN ST",
            "city": "MT STERLING",
            "state": "OH",
            "postal_code": "431439410",
            "telephone_number": "740-869-4882",
            "fax_number": "740-869-7698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 Alexandersville Rd",
            "address_purpose": "LOCATION",
            "city": "Miamisburg",
            "state": "OH",
            "postal_code": "453423644",
            "country_code": "US",
            "telephone_number": "937-866-3471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "TAYLOR",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Sterling, OH

Sources for this page

Verify at the official NPI Registry.