Peak Ventures, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

348T Issued in WY

Legal business name

PEAK VENTURES, LLC

Practice address

2101 Plaza St
Rawlins, WY 82301-6007

Phone

(307) 324-2601

Fax

(888) 547-8453

NPI assigned

Feb 14, 2017

Last updated

Feb 14, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Seth D Jenkins, OD

Title

Managing Member

Phone

(208) 709-8218

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1831638642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 PLAZA ST",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "823016007",
            "telephone_number": "307-324-2601",
            "fax_number": "888-547-8453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 PLAZA ST",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "823016007",
            "telephone_number": "307-324-2601",
            "fax_number": "888-547-8453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK VENTURES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "208-709-8218",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WY",
            "license": "348T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca L. Pace, LPN
• Pacific Medical, Inc.
• Ronald Palmer
• Steven Lynn Parker, RPH
• Gaurav Patel, MD
• Josiah Peck
• Jim P Pederson, PA
• Aspen Baley Penman
• Linda Perry, CRNA
• Martin Peterson, COTA

• Optometrist in Rawlins, WY
• Providers in Rawlins, WY by specialty
• Optometrist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.

Verify at the official NPI Registry.