Active NPI
Robert V. Peyton, O.D.
- Optometrist
- Fall River, MA
National Provider Identifier
1780909770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4780
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110088099A | Medicaid | MA |
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| ODTG00545 | RI | MD | Optometrist |
| 4780 | MA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Optometrist
- Marlboro, MA
- NPI 1760663298
-
- Eyewear Supplier
- Taunton, MA
- NPI 1356539829
-
- Optician
- Fall River, MA
- NPI 1710156302
-
- Optometrist
- Taunton, MA
- NPI 1548401235
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; 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.