Organization Active NPI

John S. Peery Optometrist P.C.

  • Optometrist
  • Midlothian, VA
National Provider Identifier
1669628806
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
JOHN S. PEERY OPTOMETRIST P.C.
Practice address
13128 Midlothian Tpke
Midlothian, VA 23113-4206
Phone
(804) 378-2303
Fax
(804) 378-1641
NPI assigned
Aug 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Authorized official

Name
Dr. John Stephen Peery, O.D.
Title
Owner
Phone
(804) 378-2303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

13128 Midlothian Tpke
Midlothian, VA 23113-4206

Mailing address

13128 Midlothian Tpke
Midlothian, VA 23113-4206
Phone (804) 378-2303

Other identifiers 1

IdentifierTypeStateIssuer
140743OtherVAANTHEM

National Provider Directory

National Provider Directory

Locations

13128 Midlothian Tpke
Midlothian, VA 23113
Phone (804) 378-2303

NPI Registry JSON

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1669628806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13128 MIDLOTHIAN TPKE",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231134206",
            "telephone_number": "804-378-2303",
            "fax_number": "804-378-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13128 MIDLOTHIAN TPKE",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231134206",
            "telephone_number": "804-378-2303",
            "fax_number": "804-378-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN S. PEERY OPTOMETRIST P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-07",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "PEERY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-378-2303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "140743",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.