Individual provider Active NPI

Peter L Guhl, O.D.

  • Vision Therapy Optometrist
  • Grafton, VA
National Provider Identifier
1538109392
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
0618000215 Issued in VA
Practice address
4102 George Washington Mem Hwy
Grafton, VA 23692-2725
Phone
(757) 890-2020
Fax
(757) 890-9125
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 0618000215 VA
Low Vision Rehabilitation Optometrist 152WL0500X 0618000215 VA
Vision Therapy Optometrist 152WV0400X 0618000215 VA Primary
Neurodevelopmental Disabilities Physician 2084P0005X 0618000215 VA

Addresses

Primary practice location

4102 George Washington Mem Hwy
Grafton, VA 23692-2725

Mailing address

4102 George Washington Mem Hwy
Grafton, VA 23692-2725
Phone (757) 890-2020

Other identifiers 9

IdentifierTypeStateIssuer
13020OtherVAMEDIPLUS
335862MD2OtherVAMDIPA
P00118845OtherVAMEDICARE-RAILROAD
251377OtherVAANTHEM BC/BS
1953721OtherVACIGNA
065709OtherVADEPT OF REHAB
382104OtherVAHIGHMARK BC/BS
0004493249OtherVAAETNA
009206655MedicaidVA

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
I20130102000360 VA Practitioner - Optometry 4587779707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3630 George Washington Mem Hwy
Suite H
Yorktown, VA 23693-3350
Phone (757) 890-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618000215VAMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Vision Therapy Current Accepting new patients
Peter Guhl PLC Corneal and Contact Management CurrentSince Aug 4, 1997 Accepting new patients

Locations

3630 George Washington Mem Hwy
Ste H
Yorktown, VA 23693
Phone (757) 890-2020

4102 George Washington Mem Hwy
Yorktown, VA 23692
Phone (757) 890-2020

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461628800000",
    "number": "1538109392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 GEORGE WASHINGTON MEM HWY",
            "city": "GRAFTON",
            "state": "VA",
            "postal_code": "236922725",
            "telephone_number": "757-890-2020",
            "fax_number": "757-890-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 GEORGE WASHINGTON MEM HWY",
            "city": "GRAFTON",
            "state": "VA",
            "postal_code": "236922725",
            "telephone_number": "757-890-2020",
            "fax_number": "757-890-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUHL",
        "first_name": "PETER",
        "middle_name": "L",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2016-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "VA",
            "license": "0618000215",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "VA",
            "license": "0618000215",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "VA",
            "license": "0618000215",
            "primary": true
        },
        {
            "code": "2084P0005X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurodevelopmental Disabilities",
            "state": "VA",
            "license": "0618000215",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDIPLUS",
            "identifier": "13020",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDIPA",
            "identifier": "335862MD2",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-RAILROAD",
            "identifier": "P00118845",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "251377",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1953721",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF REHAB",
            "identifier": "065709",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC/BS",
            "identifier": "382104",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004493249",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009206655",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grafton, VA

Sources for this page

Verify at the official NPI Registry.