John Stephen Peery, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000103 Issued in VA

Practice address

13128 Midlothian Tpke
Midlothian, VA 23113-4206

Phone

(804) 378-2303

Fax

(804) 378-1641

NPI assigned

Sep 27, 2006

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr Amanda Paull and Associates PLLC

  • Optometrist
  • Richmond, VA
  • NPI 1992956163
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397606400000",
    "number": "1891886941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13128 MIDLOTHIAN TPKE",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231134206",
            "telephone_number": "804-378-2303",
            "fax_number": "804-378-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13128 MIDLOTHIAN TPKE",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231134206",
            "telephone_number": "804-378-2303",
            "fax_number": "804-378-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEERY",
        "first_name": "JOHN",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2014-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "140743",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatric Dentistry & Orthodontics of VA
• Pediatric Dentistry & Orthodontics of VA, PC
• Pediatric Partners of Virginia, LLC
• Peds Care LTD
• Peers 4 Success LLC
• James V Pellicane Jr., MD, FACS
• Kathleen Ann Peltz, P.A.
• Anthony Penn, LPC
• Latonia Faye Penn, LPTA
• Catherine Pennino

• Optometrist in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.