Active NPI
Gail H. McPeak, O.D.
- Optometrist
- Wamego, KS
National Provider Identifier
1801891106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1037-2
- Practice address
- 414 Lincoln St
P.O. 269
Wamego, KS 66547-1682 - Phone
- (785) 456-2247
- Fax
- (785) 456-9230
- NPI assigned
- Jun 15, 2005
- Last updated
- Aug 15, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1037-2 | KS | Primary |
Addresses
Primary practice location
414 Lincoln St
P.O. 269
Wamego, KS 66547-1682
Mailing address
414 Lincoln St
P.O. Box 269
Wamego, KS 66547-1682
Phone (785) 456-2247
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0312360001 | Other | KS | PTAN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1037-2 | KS | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376524800000",
"number": "1801891106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 LINCOLN ST",
"address_2": "P.O. BOX 269",
"city": "WAMEGO",
"state": "KS",
"postal_code": "665471682",
"telephone_number": "785-456-2247",
"fax_number": "785-456-9230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 LINCOLN ST",
"address_2": "P.O. 269",
"city": "WAMEGO",
"state": "KS",
"postal_code": "665471682",
"telephone_number": "785-456-2247",
"fax_number": "785-456-9230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCPEAK",
"first_name": "GAIL",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-15",
"last_updated": "2013-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KS",
"license": "1037-2",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "0312360001",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wamego, KS
- Laurie Elizabeth Malmsten, RN
- Mark Bettencourt, O.D. PC (Vision Source)
- Haley Jo Marshall
- Rebecca S. McCall
- Sara McCarthy
- John D. McQuillen, D.D.S.
- Kenneth Arthur McVay, LCP
- Medicalodges, Inc. (Gran Villas Wamego)
- Colene Lynn Medrano, LMSW
- Mercy Regional Health Center, Inc. (Pottawatomie County EMS)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.