Active NPI
Caleb John Peter
- Optometrist
- Big Rapids, MI
National Provider Identifier
1821934902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 139100
- Practice address
- 1124 S State St
Big Rapids, MI 49307-2256 - Phone
- (231) 591-2020
- NPI assigned
- Apr 28, 2026
- Last updated
- Sep 28, 2026
- 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 | 139100 | IA | Primary |
Addresses
Primary practice location
1124 S State St
Big Rapids, MI 49307-2256
Mailing address
1124 S State St
Big Rapids, MI 49307-2256
Phone (231) 591-2020
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 139100 | IA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790553600000",
"number": "1821934902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1124 S STATE ST",
"city": "BIG RAPIDS",
"state": "MI",
"postal_code": "493072256",
"telephone_number": "231-591-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 S STATE ST",
"city": "BIG RAPIDS",
"state": "MI",
"postal_code": "493072256",
"telephone_number": "231-591-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETER",
"first_name": "CALEB",
"middle_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-04-28",
"last_updated": "2026-09-28",
"certification_date": "2026-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "139100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Big Rapids, MI
- Pediatric Associates of Big Rapids, P.C.
- Rachel Skye Perkins, L.M.S.W.
- Erick K Perroud, DDS
- Peter S. Vandemark, MD, PC (Big Rapids Internal Medicine)
- Peter Zadvinskis MD PC
- Nancy Peterson Klein, OD
- Stephen Charles Peterson, DO
- Christopher Lee Petoskey, CRNP
- Physical Therapy & Fitness Plus Inc. (PT Plus)
- Jeffrey N Pickle
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.