Provider Type Icon

DAVID L PETERS NPI 1922273556


NPI Information

NPI: 1922273556
Provider Name: DAVID L PETERS
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
611 W STATE ST
SAINT JOHNS, MI
ZIP 48879
Phone: (989) 224-6651
Get Directions

DAVID L PETERS is an eyewear supplier in Saint Johns, MI. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. DAVID L PETERS NPI is 1922273556. The provider is registered as an organization entity type.

The provider's business location address is:

611 W STATE ST
SAINT JOHNS, MI
ZIP 48879-468
Phone: (989) 224-6651
Fax: (989) 224-7024

The provider's authorized official is David L Peters .
The authorized official title is Owner and has the following contact phone number (989) 224-6651.

The enumeration date for this NPI number is 4/24/2008 and was last updated on 4/26/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear Supplier002404MICHIGANYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A96503001MEDICARE PINMICHIGAN
20234870001MEDICARE NSCMICHIGAN
3T32695MEDICARE UPINMICHIGAN

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.