Organization
PETERS FAMILY EYECARE ASSOCIATES
Active
Organization
PETERS FAMILY EYECARE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY L PETERS (O.D./OWNER)
(419) 636-3937
Entity
Organization
Contact information
Practice address
219 S MAIN ST, BRYAN, OH 43506-1759
(419) 636-3937
(419) 636-2302
Mailing address
219 S MAIN ST, BRYAN, OH 43506-1759
(419) 636-3937
(419) 636-2302
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4624/T1371
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000139777
ANTHEM BCBS PIN
OH
01
—
343703198007
MEDICAL MUTUAL OHIO PIN
OH
Enumeration date
08/29/2007
Last updated
06/24/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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