Active NPI
Carrigan Rae Peak, OD
- Optometrist
- Bedford, IN
National Provider Identifier
1447984281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18004344A
- Practice address
- 1537 J St
Bedford, IN 47421-3839 - Phone
- (812) 675-0890
- Fax
- (877) 642-7044
- NPI assigned
- Jul 15, 2022
- Last updated
- Jul 15, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18004344A | IN | Primary |
Addresses
Primary practice location
1537 J St
Bedford, IN 47421-3839
Mailing address
1537 J St
Bedford, IN 47421-3839
Phone (812) 675-0890
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1537 J St
Bedford, IN 47421-3839
Phone (812) 675-0890
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18004344A | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atchison Eyecare, Inc | Optometrist | Current | Accepting new patients |
Locations
1537 J St
Bedford, IN 47421
Phone (812) 675-0890
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, 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": "1657843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657843200000",
"number": "1447984281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1537 J ST",
"city": "BEDFORD",
"state": "IN",
"postal_code": "474213839",
"telephone_number": "812-675-0890",
"fax_number": "877-642-7044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1537 J ST",
"city": "BEDFORD",
"state": "IN",
"postal_code": "474213839",
"telephone_number": "812-675-0890",
"fax_number": "877-642-7044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEAK",
"first_name": "CARRIGAN",
"middle_name": "RAE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-15",
"last_updated": "2022-07-15",
"certification_date": "2022-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18004344A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.