Eric C McPeak OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ERIC C MCPEAK OD PA

Practice address

706 Oregon St
Hiawatha, KS 66434-2232

Phone

(785) 742-3021

Fax

(785) 742-3061

NPI assigned

Sep 26, 2006

Last updated

Jul 5, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

ERIC C MCPEAK OD PAAs reported in NPPES

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

Authorized official

Name

Dr. Eric C McPeak, O.D.NPI 1225031560

Title

Owner, President

Phone

(785) 742-3021

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KS2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Eric C McPeak OD PA

  • Optometrist
  • Falls City, NE
  • NPI 1689738270

  5991910861

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Part of

Eric C McPeak OD PA

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric C. McPeak, O.D.

  • Optometrist
  • Hiawatha, KS
  • NPI 1225031560
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309824000000",
    "number": "1609977214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 336",
            "city": "HIAWATHA",
            "state": "KS",
            "postal_code": "664340336",
            "telephone_number": "785-742-3021",
            "fax_number": "785-742-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 OREGON ST",
            "city": "HIAWATHA",
            "state": "KS",
            "postal_code": "664342232",
            "telephone_number": "785-742-3021",
            "fax_number": "785-742-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC C MCPEAK OD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ERIC C MCPEAK OD PA",
        "enumeration_date": "2006-09-26",
        "last_updated": "2011-07-05",
        "status": "A",
        "authorized_official_last_name": "MCPEAK",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "785-742-3021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100357060C",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MC",
            "identifier": "410049838",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NUMBER",
            "identifier": "650920",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• DRS Price Young Odle & Horsch PA (The EyeDoctors)
• Shiloah M Edie
• Ann M Elifrits, LMLP, LCP
• Larry Elliott
• David L Elsbury, LMLP
• Kristin Fassnacht, PT, DPT
• Sean Michael Fay, DDS
• Veronica Fierro
• Brenda June Fitz-Simmons, LMSW, CADC1, SAP
• Samantha E Foley

• Optometrist in Hiawatha, KS
• Providers in Hiawatha, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.