Cynthia L Peeterse, OD

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

0B3056 Issued in FL

Practice address

1201 Eglin Pkwy
Shalimar, FL 32579-1245

Phone

(850) 613-6588

Fax

(850) 613-6574

NPI assigned

Sep 21, 2005

Last updated

Dec 4, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pensacola Vision Center Inc

  • Optometrist
  • Pensacola, FL
  • NPI 1649529439
  Medicare reassignment NPD
• Eye Care Physicians Inc

  dba Panhandle Vision INSTITUTE

  • Ophthalmology Physician
  • Pensacola, FL
  • NPI 1942295514
  NPD (past)

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449187200000",
    "number": "1821084328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 EGLIN PKWY",
            "city": "SHALIMAR",
            "state": "FL",
            "postal_code": "325791245",
            "telephone_number": "850-613-6588",
            "fax_number": "850-613-6574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 EGLIN PKWY",
            "city": "SHALIMAR",
            "state": "FL",
            "postal_code": "325791245",
            "telephone_number": "850-613-6588",
            "fax_number": "850-613-6574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEETERSE",
        "first_name": "CYNTHIA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-21",
        "last_updated": "2015-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "0B3056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Jean Osborne
• Mary Kate Pace, RDH
• Karly Parmer
• Cristina Paternina
• Anna Pearce, LCSW
• Angelina Marie Planas
• Dylan Plantz, DPT
• Brandy Diane Poindexter, M.S., CCC-SLP
• Myyonna Pride
• Alexandria Prophete

• Corneal and Contact Management Optometrist in Shalimar, FL
• Providers in Shalimar, FL by specialty
• Corneal and Contact Management Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.