Eric Lee Peterson

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

0101275027 Issued in VA

Practice address

426 W Main St
Salem, VA 24153-3610

Phone

(540) 855-5100

Fax

(540) 387-3349

NPI assigned

Mar 26, 2018

Last updated

Aug 11, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Virginia Commonwealth University, School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vistar Eye Center, IncGroup PAC ID 0446249858, 29 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75.18 of 100Reported as group

Quality

81.53

Promoting interoperability

88

Improvement activities

40

Cost

45.74

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: epeterson17187@ukhcdirect.org
• Direct secure messaging: eric.peterson.p1@direct.vistareyecenter.nextgenshare.com

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.

• Vistar Eye Center, Inc

  • Specialist
  • Roanoke, VA
  • NPI 1457323545
  Medicare reassignment Care Compare group NPD
• Vistar Eye Center, Inc

  • Eyewear Supplier
  • Roanoke, VA
  • NPI 1265128037
  NPD

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1497250252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1789",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240081789",
            "telephone_number": "540-855-5100",
            "fax_number": "540-387-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 W MAIN ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241533610",
            "telephone_number": "540-855-5100",
            "fax_number": "540-387-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "ERIC",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-26",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101275027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Performance Medicine of Southwest (Performance Medicine of Southwest Virginia, LLC)
• Jessica Lynn Perkins
• Olivia Perrine
• Alexa Janet Peters, B.S., B.S., RBT
• Katelyn Cox Peters, LCSW
• Michael Petika
• Michelle A Pettis-Tibbs, LCSW
• PHC of Virginia, LLC (Mount Regis Center)
• Margaret Phillips
• Robert Lewis Phillips Sr., CRNA

• Ophthalmology Physician in Salem, VA
• Providers in Salem, VA by specialty
• Ophthalmology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.

Verify at the official NPI Registry.