NPIMap

Organization Active NPI

Peak Visual Performance, LLC

  • Optometrist
  • Anderson, IN
National Provider Identifier
1932521580
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002944A Issued in IN
Legal business name
PEAK VISUAL PERFORMANCE, LLC
Practice address
1607 S Scatterfield Rd
Ste B
Anderson, IN 46016-5788
Phone
(765) 649-1200
Fax
(765) 649-4040
NPI assigned
Jan 16, 2014
Last updated
Jan 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2014

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

Authorized official

Name
Dr. Rajender Macha, ODNPI 1316920499
Title
President/Owner
Phone
(765) 649-1200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002944A IN Primary
Sports Vision Optometrist 152WS0006X 18002944A IN
Vision Therapy Optometrist 152WV0400X 18002944A IN

Addresses

Primary practice location

1607 S Scatterfield Rd
Ste B
Anderson, IN 46016-5788

Mailing address

1537 S Scatterfield Rd
Ste B
Anderson, IN 46016-5766
Phone (765) 649-1200

National Provider Directory

National Provider Directory

Locations

1537 S Scatterfield Rd
Ste B
Anderson, IN 46016
Phone (765) 374-6330

1607 S Scatterfield Rd
#B
Anderson, IN 46016
Phone (765) 640-2090

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1932521580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 S SCATTERFIELD RD",
            "address_2": "STE B",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460165766",
            "telephone_number": "765-649-1200",
            "fax_number": "765-649-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 S SCATTERFIELD RD",
            "address_2": "STE B",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460165788",
            "telephone_number": "765-649-1200",
            "fax_number": "765-649-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK VISUAL PERFORMANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-16",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "MACHA",
        "authorized_official_first_name": "RAJENDER",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "765-649-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002944A",
            "primary": true
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "IN",
            "license": "18002944A",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "IN",
            "license": "18002944A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.