Individual provider Active NPI

Robert V. Peyton, O.D.

  • Optometrist
  • Fall River, MA
National Provider Identifier
1780909770
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4780 Issued in MA
Practice address
1554 Pleasant St
Fall River, MA 02723-1901
Phone
(508) 880-9505
NPI assigned
Apr 1, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4780 MA Primary
Optometrist 152W00000X ODTG00545 RI

Addresses

Primary practice location

1554 Pleasant St
Fall River, MA 02723-1901

Mailing address

1554 Pleasant St
Fall River, MA 02723-1901
Phone (508) 880-9505

Other identifiers 1

IdentifierTypeStateIssuer
110088099AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20100802000029 MA Practitioner - Optometry 2264565910 Reassigns benefits to 1 organization
Practice locations: Fall River, MA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1554 Pleasant St
Suite 2
Fall River, MA 02723-1901
Phone (508) 674-6915

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ODTG00545RIMDOptometrist
4780MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Geraldine Mays Past Accepting new patients
Wga Eye Care Group LLC Optometrist Past Accepting new patients
Pleasant Vision Center Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1780909770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1554 PLEASANT ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027231901",
            "telephone_number": "508-880-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1554 PLEASANT ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027231901",
            "telephone_number": "508-880-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEYTON",
        "first_name": "ROBERT",
        "middle_name": "V.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-01",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4780",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00545",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110088099A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.