Individual provider Active NPI

Erik Michael Peyton

  • Optometrist
  • Saint Peters, MO
National Provider Identifier
1871118992
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2020015763 Issued in MO
Practice address
6043 Mid Rivers Mall Dr
Saint Peters, MO 63304-1108
Phone
(636) 397-2020
NPI assigned
Jun 15, 2020
Last updated
Jun 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2020015763 MO Primary

Addresses

Primary practice location

6043 Mid Rivers Mall Dr
Saint Peters, MO 63304-1108

Mailing address

6043 Mid Rivers Mall Dr
Saint Peters, MO 63304-1108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20200701000358 MO Practitioner - Optometry 4688097132 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pec Warrenton LLCGroup PAC ID 1355767351, 3 clinicians
Pec St Peters LLCGroup PAC ID 7911266721, 3 clinicians

Practice addresses (Care Compare)

277 W Veterans Memorial Pkwy
Warrenton, MO 63383-1067
Phone (618) 234-3053

6043 Mid Rivers Mall Dr
Saint Peters, MO 63304-1108
Phone (636) 397-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2020015763MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pec Warrenton LLC Optometrist CurrentSince Aug 29, 2020 Accepting new patients
Massie Optometry PC Optometrist CurrentSince Jun 23, 2020 Accepting new patients
Pec South County LLC CurrentSince Jun 23, 2020 Accepting new patients
Pec St Peters LLC Optometrist CurrentSince Jun 23, 2020 Accepting new patients
Ernst Eye Health Associates, Inc Optometrist Past Accepting new patients

Locations

4111 N Illinois St
Swansea, IL 62226
Phone (314) 983-9800

4412 Telegraph Rd
Saint Louis, MO 63129
Phone (314) 894-5353

465 N New Ballas Rd
Saint Louis, MO 63141
Phone (314) 626-4020

6043 Mid Rivers Mall Dr
Saint Peters, MO 63304
Phone (636) 397-2020

277 W Veterans Memorial Pkwy
Warrenton, MO 63383
Phone (618) 234-3053

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1871118992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6043 MID RIVERS MALL DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633041108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6043 MID RIVERS MALL DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633041108",
            "telephone_number": "636-397-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEYTON",
        "first_name": "ERIK",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2020015763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

Verify at the official NPI Registry.