Active NPI
Richard J Peach, O.D.
- Optometrist
- Munster, IN
National Provider Identifier
1821277286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18001668A
- Practice address
- 800 Macarthur Blvd
Suite 10
Munster, IN 46321-2917 - Phone
- (219) 836-5326
- Fax
- (219) 836-5326
- NPI assigned
- Nov 1, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 18001668A | IN | Primary |
Addresses
Primary practice location
800 Macarthur Blvd
Suite 10
Munster, IN 46321-2917
Mailing address
800 Macarthur Blvd
Ste 10
Munster, IN 46321-2917
Phone (219) 922-8017
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0509220001 | Other | IN | DMERC |
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 |
|---|---|---|---|
| 18001668A | IN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499644800000",
"number": "1821277286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 MACARTHUR BLVD",
"address_2": "STE 10",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212917",
"telephone_number": "219-922-8017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 MACARTHUR BLVD",
"address_2": "SUITE 10",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212917",
"telephone_number": "219-836-5326",
"fax_number": "219-836-5326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEACH",
"first_name": "RICHARD",
"middle_name": "J",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-01",
"last_updated": "2017-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18001668A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "0509220001",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.