Organization
ERIC C MCPEAK OD PA
Active
Parent organization
ERIC C MCPEAK OD PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
ERIC C MCPEAK OD PA
Authorized official
DR. ERIC C MCPEAK O.D. (OWNER, PRESIDENT)
(785) 742-3021
Entity
Organization
Contact information
Practice address
1823 CHASE ST, FALLS CITY, NE 68355-2636
(402) 245-2017
(402) 245-2018
Mailing address
PO BOX 336, HIAWATHA, KS 66434-2232
(785) 742-3021
(785) 742-3061
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10024975900
—
NE
05
—
100357060C
—
KS
01
—
D06911
GROUP NUMBER
NE
01
—
DG0638
RR MC
NE
01
—
DG7240
RR MC
KS
Enumeration date
12/20/2006
Last updated
04/24/2014
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