Joseph Conner Peters, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

092516 Issued in IA

Practice address

1875 Middle Rd
Bettendorf, IA 52722-3203

Phone

(563) 359-4446

Fax

(563) 359-0381

NPI assigned

Jun 11, 2018

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

Medicare fee-for-service enrollment

Enrolled in IA

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

University of Missouri St Louis - School of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chizek Family Eyecare IncGroup PAC ID 6709891740, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.94 of 100Reported as individual

Quality

79.88

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: joseph.peters@direct.revolutionehr.com

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.

• Chizek Family Eyecare Inc

  • Optometrist
  • Bettendorf, IA
  • NPI 1316083561
  Medicare reassignment Care Compare group NPD
• Chizek Family Eyecare Inc

  • Optometrist
  • Eldridge, IA
  • NPI 1154818847
  NPD

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1902399298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 MIDDLE RD",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223203",
            "telephone_number": "563-359-4446",
            "fax_number": "563-359-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 MIDDLE RD",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223203",
            "telephone_number": "563-359-4446",
            "fax_number": "563-359-0381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 N 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Eldridge",
            "state": "IA",
            "postal_code": "527481759",
            "country_code": "US",
            "telephone_number": "563-285-4001",
            "fax_number": "563-285-6121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "JOSEPH",
        "middle_name": "CONNER",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-11",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": "092516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunita Kammila Penmatcha, M.D.
• Susan Barbara Perry, MD
• Ryan Babu Perumpail, M.D.
• Daniel Petefish, PHARMD
• Elizabeth Grace Peters, MA,CCC-SLP
• Olivia Anna Peters, PA-C
• Joel Brandon Peterson, D.D.S.
• Robin R. Peterson, PSY.D
• Melissa Margaret Peyton, PA-C
• Phelps Consulting & Training, LLC

• Optometrist in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; 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.