Jeffrey R Peterson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000391 Issued in PA

Practice address

324 Main Street
Saxonburg, PA 16056

Phone

(724) 352-2433

Fax

(724) 352-8466

NPI assigned

Aug 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Saxonburg Family Eye Care LLCGroup PAC ID 7113007550, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Saxonburg Family Eye Care LLC

  • Optometrist
  • Saxonburg, PA
  • NPI 1811170848
  Medicare reassignment Care Compare group NPD Authorized official
• Oakmont Eye Care, LLC

  • Optometrist
  • Oakmont, PA
  • NPI 1568745040
  NPD (past)
• Visionworks Inc

  dba Visionworks

  • Eyewear Supplier
  • Omaha, NE
  • NPI 1205924792
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226361600000",
    "number": "1659384071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 500",
            "address_2": "324 MAIN STREET",
            "city": "SAXONBURG",
            "state": "PA",
            "postal_code": "16056",
            "telephone_number": "724-352-2433",
            "fax_number": "724-352-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 MAIN STREET",
            "city": "SAXONBURG",
            "state": "PA",
            "postal_code": "16056",
            "telephone_number": "724-352-2433",
            "fax_number": "724-352-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "JEFFREY",
        "middle_name": "R",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2008-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01939081",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miranda Moore
• Marguerite Supler Mullen, MA CCC-SLP
• Libro Oniboni, DO
• Orchards of Saxonburg, LLC (Saxony Health Center)
• Amy L Peterson, OD
• Physician Landing Zone, P.C. (Mark A. Mallinger, M.D.)
• Alexis Ramsey, D.C.
• April W Reifer, DC
• Erica Mae Robbins
• Susan Ann Rodack, RPH

• Optometrist in Saxonburg, PA
• Providers in Saxonburg, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; 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.