Individual provider Active NPI

Peter L Korpi, O.D.

  • Optometrist
  • Muscatine, IA
National Provider Identifier
1790740108
Registry record updated Nov 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1853 Issued in IA
Practice address
315 Parham St
Suite B
Muscatine, IA 52761-2604
Phone
(563) 263-7577
Fax
(563) 263-7814
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1853 IA Primary

Addresses

Primary practice location

315 Parham St
Suite B
Muscatine, IA 52761-2604

Mailing address

315 Parham St
Suite B
Muscatine, IA 52761-2604
Phone (563) 263-7577

Other identifiers 3

IdentifierTypeStateIssuer
24139OtherIAWELLMARK BLUE CROSS
410016370OtherIARR MEDICARE
0038497MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1853IAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415664000000",
    "number": "1790740108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 PARHAM ST",
            "address_2": "SUITE B",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527612604",
            "telephone_number": "563-263-7577",
            "fax_number": "563-263-7814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 PARHAM ST",
            "address_2": "SUITE B",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527612604",
            "telephone_number": "563-263-7577",
            "fax_number": "563-263-7814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORPI",
        "first_name": "PETER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2014-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "1853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BLUE CROSS",
            "identifier": "24139",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "410016370",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0038497",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muscatine, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.