Peter J Oppermann, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003972 Issued in MI

Practice address

829 W Main St
Suite E
Gaylord, MI 49735-1998

Phone

(989) 732-6261

Fax

(989) 732-1276

NPI assigned

Nov 10, 2005

Last updated

Jul 25, 2011By 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

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

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gaylord Eye Care Center IncGroup PAC ID 0749310720, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Gaylord Eye Care Center Inc

  • Optometrist
  • Gaylord, MI
  • NPI 1306827837
  Medicare reassignment Care Compare group NPD
• Gary J. Mellon ,O.D.,P.C.

  • Eyewear Supplier
  • Boyne City, MI
  • NPI 1609045921

  Optometrist

  NPD (past)
• West Branch Eyecare P.C.

  dba Lesley Lenahan Finkbeiner

  • Optometrist
  • West Branch, MI
  • NPI 1972046670
  NPD (past)

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311552000000",
    "number": "1942281472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 W MAIN ST",
            "address_2": "SUITE E",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351998",
            "telephone_number": "989-732-6261",
            "fax_number": "989-732-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 W MAIN ST",
            "address_2": "SUITE E",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351998",
            "telephone_number": "989-732-6261",
            "fax_number": "989-732-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPPERMANN",
        "first_name": "PETER",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2011-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4652035",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MI",
            "identifier": "0F9100",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amie Ollis, LLPC
• Derek David Olson, M.D.
• Grace Olson
• Catherine Irene Oneill, PA-C
• Jaclyn Oneill, DC
• Optimum Health Chiropractic
• Oral and Maxillofacial Surgery Associates
• Oryx Men's Health LLC (Oryx Men's Health)
• Amy Lynn Osborn
• Halie Ann Osborne-Orourke

• Optometrist in Gaylord, MI
• Providers in Gaylord, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; 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.