Active NPI
Mary Anne Peck, P. C.
- Optometrist
- Carrollton, TX
National Provider Identifier
1679759856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- MARY ANNE PECK, P. C.
- Practice address
- 3012 E Hebron Pkwy
Suite 100
Carrollton, TX 75010-4428 - Phone
- (972) 307-5000
- Fax
- (972) 307-7717
- NPI assigned
- Jan 17, 2008
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mary Anne Peck, O.D.
- Title
- Owner
- Phone
- (972) 307-5000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TX | Primary |
Addresses
Primary practice location
3012 E Hebron Pkwy
Suite 100
Carrollton, TX 75010-4428
Mailing address
3012 E Hebron Pkwy
Suite 100
Carrollton, TX 75010-4428
Phone (972) 307-5000
Other names 1
- Eyecare and Eyewear
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Optometrist
- Carrollton, TX
- NPI 1104933118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1679759856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3012 E HEBRON PKWY",
"address_2": "SUITE 100",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750104428",
"telephone_number": "972-307-5000",
"fax_number": "972-307-7717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3012 E HEBRON PKWY",
"address_2": "SUITE 100",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750104428",
"telephone_number": "972-307-5000",
"fax_number": "972-307-7717"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARY ANNE PECK, P. C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-17",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "PECK",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "972-307-5000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Eyecare and Eyewear",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.