Peter Vergos, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003310 Issued in MI

Practice address

3385 S Center Rd
Burton, MI 48519-1457

Phone

(810) 244-3434

Fax

(810) 715-0301

NPI assigned

Feb 2, 2006

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

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MI

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

Illinois College of Optometry at Chicago, 1990

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Vergos Vision Service Inc

  • Optometrist
  • Burton, MI
  • NPI 1447511456
  Medicare reassignment NPD Authorized official
• Center Road Vision Care PLC

  • Optometrist
  • Burton, MI
  • NPI 1831595388
  NPD
• Luxottica of America Inc

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305072000000",
    "number": "1669444840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3385 S CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485191457",
            "telephone_number": "810-244-3434",
            "fax_number": "810-715-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3385 S CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485191457",
            "telephone_number": "810-244-3434",
            "fax_number": "810-715-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERGOS",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2011-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCVISION",
            "identifier": "PV003310",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCSUPPLY",
            "identifier": "1093470001",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC NETWORK",
            "identifier": "900B56331",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "900B567090",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chaitanya Vemulapalli, M.D
• Vinathi Vemuleti
• Shontasia Verdun
• Vergos Vision Service Inc
• Nicholas Peter Vergos
• VG'S Pharmacy Inc
• Andrew Victor, MD
• Roger Villarin, PT
• Valdis Vitols, DDS
• Heidi Maria Wagner, RPH

• Optometrist in Burton, MI
• Providers in Burton, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; 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.