Individual provider Active NPI

Peter L. Rich, O. D.

  • Corneal and Contact Management Optometrist
  • Aliso Viejo, CA
National Provider Identifier
1942269626
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
5453T Issued in CA
Practice address
26611 Aliso Creek Rd
Suite B
Aliso Viejo, CA 92656-4805
Phone
(949) 362-2200
Fax
(949) 362-0249
NPI assigned
Mar 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 5453T CA Primary

Addresses

Primary practice location

26611 Aliso Creek Rd
Suite B
Aliso Viejo, CA 92656-4805

Mailing address

26611 Aliso Creek Rd
Suite B
Aliso Viejo, CA 92656-4805
Phone (949) 362-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20150130002380 CA Practitioner - Optometry 0840514428

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5453TCAMDCorneal and Contact Management Optometrist

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1942269626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26611 ALISO CREEK RD",
            "address_2": "SUITE B",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926564805",
            "telephone_number": "949-362-2200",
            "fax_number": "949-362-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26611 ALISO CREEK RD",
            "address_2": "SUITE B",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926564805",
            "telephone_number": "949-362-2200",
            "fax_number": "949-362-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICH",
        "first_name": "PETER",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "O. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "5453T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliso Viejo, CA

Sources for this page

Verify at the official NPI Registry.