Randy L Peters, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4624 T1371 Issued in OH

Practice address

219 S Main St
Bryan, OH 43506-1759

Phone

(419) 636-3937

Fax

(419) 636-2302

NPI assigned

Mar 23, 2006

Last updated

Jun 24, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Illinois College of Optometry at Chicago, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peters Family Eyecare AssociatesGroup PAC ID 6002842028, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

79.49 of 100Reported as group

Quality

58.97

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pfeeyecare@petersfamilyeyecare.eyefinity-direct.com

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.

• Peters Family Eyecare Associates

  • Optometrist
  • Bryan, OH
  • NPI 1699969030
  Medicare reassignment Care Compare group NPD Authorized official
• Don's Optical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Bryan, OH
  • NPI 1487752291
  NPD (past)
• Luxottica Retail North America Inc

  dba Sears Optical #C1081

  • Eyewear Supplier
  • Defiance, OH
  • NPI 1588760219
  NPD (past)
• Tri-State Vision Center, Inc.

  • Optometrist
  • Montpelier, OH
  • NPI 1568573350
  NPD (past)
• Luxottica of America Inc

  dba Lenscrafters #E895

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1902866130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 S MAIN ST",
            "city": "BRYAN",
            "state": "OH",
            "postal_code": "435061759",
            "telephone_number": "419-636-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 S MAIN ST",
            "city": "BRYAN",
            "state": "OH",
            "postal_code": "435061759",
            "telephone_number": "419-636-3937",
            "fax_number": "419-636-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "RANDY",
        "middle_name": "L",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4624 T1371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pfeeyecare@petersfamilyeyecare.eyefinity-direct.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "219 S Main St",
            "city": "Bryan",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435061759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carol Jane Peggs, PT
• Cathleen Pelland
• Peopleworks Developers of Human Resources, LLC
• Peters Family Eyecare Associates
• Diane Peters, PSY.D.
• Ryan Peters I
• Darisa Phillips, COTA/L
• Mark E Phillips, D.D.S.
• Larry Michael Pickett, CRNA
• Tiffany Rae Poletta, COTA/L

• Optometrist in Bryan, OH
• Providers in Bryan, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; 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.