Michael Victor Peters, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODTG00539 Issued in RI

Practice address

1180 Fall River Ave
Walmart Vision Center
Seekonk, MA 02771

Phone

(508) 336-5115

Fax

(508) 336-6913

NPI assigned

Jul 8, 2009

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

Medicare fee-for-service enrollment

Enrolled in RI

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

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.

• Rhode Island Optometrics, LLC

  • Optometrist
  • Cranston, RI
  • NPI 1275024135
  Medicare reassignment
• Optometric Providers of Rhode Island, Inc

  • Optometrist
  • Syracuse, NY
  • NPI 1295929404
  NPD (past)

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1669601928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8429",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029200429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 FALL RIVER AVE",
            "address_2": "WALMART VISION CENTER",
            "city": "SEEKONK",
            "state": "MA",
            "postal_code": "02771",
            "telephone_number": "508-336-5115",
            "fax_number": "508-336-6913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 Washington St",
            "address_2": "Walmart Vision Center",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "MA",
            "postal_code": "017492735",
            "country_code": "US",
            "telephone_number": "978-568-1036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "MICHAEL",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madhuri Patel, DDS
• Amy Patricia Paulo, RN
• Pearle Vision Center
• Erin Colleen Peloquin, LMHC
• Perfect Smiles Dentistry and Wellness, PLLC
• Christina Piacquadio
• Stephanie Lynn Pine, FNP-C
• Nicole Piona
• Jennifer Pohle, BCBA
• Positive Synergy Corporation

• Optometrist in Seekonk, MA
• Providers in Seekonk, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.