William Stan Peacock, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC1999 Issued in FL

Practice address

2255 Highway 71
Marianna, FL 32448-2541

Phone

(850) 526-0067

Fax

(850) 526-0069

NPI assigned

Dec 12, 2006

Last updated

Nov 18, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Optometry

Education

Southern College of Optometry, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tiffany a Torrans OD PAGroup PAC ID 5193043263, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Tiffany a Torrans OD PA

  dba Big Bend Family Eye Care

  • Optometrist
  • Tallahassee, FL
  • NPI 1023401064
  Medicare reassignment Care Compare group NPD
• William Peacock

  • Optometrist
  • Marianna, FL
  • NPI 1437554623
  Medicare reassignment NPD Authorized official
• North Florida Regional Eyecare, PA

  • Ophthalmology Physician
  • Tallahassee, FL
  • NPI 1902190895

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1851451462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 HIGHWAY 71",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324482541",
            "telephone_number": "850-526-0067",
            "fax_number": "850-526-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 HIGHWAY 71",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324482541",
            "telephone_number": "850-526-0067",
            "fax_number": "850-526-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEACOCK",
        "first_name": "WILLIAM",
        "middle_name": "STAN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "19887",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410029707",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078363300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yasmine Linez Patterson-Bellamy
• Matthew R Payne, DMD
• Robert W Payne, DDS
• Payne&Payne Dentistry, LLC
• Toni Lynn Peacock
• Pelt Eye Clinic, P.a.
• Alan E Pelt, OD
• Ashley Pelt, DPT
• David G Pelt, OD
• Meagan Peluso, PT

• Optometrist in Marianna, FL
• Providers in Marianna, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.