Individual provider Active NPI

Lester G Peters, O.D.

  • Optometrist
  • Richmond, VA
National Provider Identifier
1467554436
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000231 Issued in VA
Practice address
5644 Brook Rd
Richmond, VA 23227-2273
Phone
(804) 264-2956
Fax
(804) 264-0447
NPI assigned
Sep 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 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 0618000231 VA Primary

Addresses

Primary practice location

5644 Brook Rd
Richmond, VA 23227-2273

Mailing address

5644 Brook Rd
Richmond, VA 23227-2273
Phone (804) 264-2956

Other identifiers 3

IdentifierTypeStateIssuer
35004OtherVADAVIS VISION
279166OtherVAANT;HEM BLUE CROSS
9232613MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20080506000077 VA Practitioner - Optometry 2769561570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brook Run Vision CenterGroup PAC ID 1951480763, 4 clinicians

Practice addresses (Care Compare)

9335 Chamberlayne Rd
Mechanicsville, VA 23116-2805
Phone (804) 264-2956

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brook Run Vision Center Optometrist CurrentSince Feb 14, 2008 Accepting new patients

Locations

9335 Chamberlayne Rd
Mechanicsvlle, VA 23116
Phone (804) 264-2956

5632 Brook Rd
Richmond, VA 23227
Phone (804) 264-2956

Interoperability endpoints

  • Direct secure messaging: drpeters@brvc.eyefinity-direct.com

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368403200000",
    "number": "1467554436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5644 BROOK RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232272273",
            "telephone_number": "804-264-2956",
            "fax_number": "804-264-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5644 BROOK RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232272273",
            "telephone_number": "804-264-2956",
            "fax_number": "804-264-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "LESTER",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2013-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "35004",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANT;HEM BLUE CROSS",
            "identifier": "279166",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9232613",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.