NPIMap

Organization Active NPI

David L Peters

  • Eyewear Supplier
  • Saint Johns, MI
National Provider Identifier
1922273556
Registry record updated Apr 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
002404 Issued in MI
Legal business name
DAVID L PETERS
Practice address
611 W State St
Saint Johns, MI 48879-1468
Phone
(989) 224-6651
Fax
(989) 224-7024
NPI assigned
Apr 24, 2008
Last updated
Apr 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2013

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

Authorized official

Name
David L PetersNPI 1376514372
Title
Owner
Phone
(989) 224-6651

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 002404 MI Primary

Addresses

Primary practice location

611 W State St
Saint Johns, MI 48879-1468

Mailing address

PO Box 204
Saint Johns, MI 48879-0204
Phone (989) 224-6651

National Provider Directory

National Provider Directory

Locations

611 W State St
Saint Johns, MI 48879
Phone (517) 224-6651

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366934400000",
    "number": "1922273556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 204",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488790204",
            "telephone_number": "989-224-6651",
            "fax_number": "989-224-7024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W STATE ST",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488791468",
            "telephone_number": "989-224-6651",
            "fax_number": "989-224-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID L PETERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2013-04-26",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-224-6651"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MI",
            "license": "002404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johns, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; 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.