Individual provider Active NPI

Peter B. Lerner, O.D.

  • Optometrist
  • Bethel, CT
National Provider Identifier
1992872287
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
000901 Issued in CT
Practice address
68 Stony Hill Rd
Bethel, CT 06801-3060
Phone
(203) 797-8504
Fax
(203) 797-1270
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 000901 CT Primary
Corneal and Contact Management Optometrist 152WC0802X 000901 CT
Low Vision Rehabilitation Optometrist 152WL0500X 000901 CT
Pediatric Optometrist 152WP0200X 000901 CT
Sports Vision Optometrist 152WS0006X 000901 CT
Vision Therapy Optometrist 152WV0400X 000901 CT
Occupational Vision Optometrist 152WX0102X 000901 CT

Addresses

Primary practice location

68 Stony Hill Rd
Bethel, CT 06801-3060

Mailing address

68 Stony Hill Rd
Bethel, CT 06801-3060
Phone (203) 797-8504

Other identifiers 3

IdentifierTypeStateIssuer
CT000901OtherCTCT LICENSE NUMBER
24874OtherCTCDS ST CONTROLLED SUB NUM
004110095MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20050318000102 CT Practitioner - Optometry 2567417942 Practice locations: Bethel, CT

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

68 Stony Hill Rd
Bethel, CT 06801-3060
Phone (203) 797-8504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000901CTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Danbury Hospital Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1992872287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 STONY HILL RD",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068013060",
            "telephone_number": "203-797-8504",
            "fax_number": "203-797-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 STONY HILL RD",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068013060",
            "telephone_number": "203-797-8504",
            "fax_number": "203-797-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERNER",
        "first_name": "PETER",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "000901",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CT",
            "license": "000901",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CT",
            "license": "000901",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CT",
            "license": "000901",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "CT",
            "license": "000901",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CT",
            "license": "000901",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "CT",
            "license": "000901",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT LICENSE NUMBER",
            "identifier": "CT000901",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS ST CONTROLLED SUB NUM",
            "identifier": "24874",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004110095",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel, CT

Sources for this page

Verify at the official NPI Registry.