DR. ROBERT J PETERS OD NPI 1972553899

NPI Information

  • NPI: 1972553899
  • Provider Name: DR. ROBERT J PETERS, OD
  • Classification: Optometrist - 152WP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5050 CASCADE RD SE
    GRAND RAPIDS, MI
    ZIP 49546
  • Phone: (616) 957-0866

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NPI Details

DR. Robert J Peters, OD is a pediatrics optometrist in Grand Rapids, MI with 35 years of experience. The provider is optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. DR. Robert J Peters, OD NPI is 1972553899. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduation Year:1990

The provider's business location address is:

5050 CASCADE RD SE
GRAND RAPIDS, MI
ZIP 49546-725
Phone: (616) 957-0866
Fax: (616) 957-4102

The NPI 1972553899 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient complete exam of visual system (HCPCS:92014)
  • Exam to measure eye deviation and range of motion (HCPCS:92060)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)

The enumeration date for this NPI number is 5/11/2006 and was last updated on 3/1/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152WP0200XOptometristPediatrics003979MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
113857OTHERMICHIGANPRIORITY HEALTH MEDICAID
2ON42810MEDICARE UPINMICHIGAN
34362760OTHERMICHIGANCHILDREN SPECIAL HEALTH
413857OTHERMICHIGANPRIORITY HEALTH HMO
5900D166360OTHERMICHIGANBLUE CROSS BLUE SHIELD
6900D166360OTHERMICHIGANFEP BLUE CROSS
74362760MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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