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NPI Code Detail

MEDICARE: ERIC C MCPEAK OD PA

MEDICARE: ERIC C MCPEAK OD PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2410049838OTHERKSRR MC
3650920OTHERKSGROUP NUMBER

General Provider Information

NPI Number : 1609977214
Entity Type Code : Organization
Provider Name (Legal Business Name) : ERIC C MCPEAK OD PA
Provider Business Mailing Address
First Line : PO BOX 336
Second Line :
City : HIAWATHA
State : KS
Zip : 66434-0336
Country : US
Telephone Number : 785-742-3021
Fax Number : 785-742-3061
Provider Business Practice Location Address
First Line : 706 OREGON ST
Second Line :
City : HIAWATHA
State : KS
Zip : 66434-2232
Country : US
Telephone Number : 785-742-3021
Fax Number : 785-742-3061
Authorized Official
Title or Position : OWNER, PRESIDENT
Name : DR. ERIC C MCPEAK
Credential : O.D.
Telephone Number : 785-742-3021
Provider Enumeration Date : 09/26/2006
Last Update Date : 07/05/2011

Similar Medicare Providers

1225031560 — DR. ERIC C. MCPEAK O.D.
Practice Location Address:
706 OREGON ST
HIAWATHA, KS
66434-2232
Practice Phone: 785-742-3021
Practice Fax: 785-742-3061
1255335741 — PERSONAL CARE, INC.
Practice Location Address:
700 OREGON ST
HIAWATHA, KS
66434-2232
Practice Phone: 785-742-7495
Practice Fax: 785-742-4490
1295739795 — DAVID JOHN NACHTIGAL PT/RCP
Practice Location Address:
700 OREGON ST
HIAWATHA, KS
66434-2232
Practice Phone: 785-742-7606
Practice Fax: 785-742-4490
1619971124 — BRIAN ALAN VOOS PT
Practice Location Address:
700 OREGON ST
HIAWATHA, KS
66434-2232
Practice Phone: 785-742-7606
Practice Fax: 785-742-4490
1326143702 — MRS. TERESA MARIE MILLER PHYSICAL THEREPIST
Practice Location Address:
700 OREGON ST
HIAWATHA, KS
66434-2232
Practice Phone: 785-742-7606
Practice Fax: 785-742-4490
1922162577 — MRS. AMANDA SUE BREDEMEIER OT
Practice Location Address:
700 OREGON ST
HIAWATHA, KS
66434-2232
Practice Phone: 785-742-7606
Practice Fax: 785-742-4490

Directions to “ERIC C MCPEAK OD PA ” Practice Location

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