BRIAN W PECK (NPI# 1417982828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417982828 |
| Entity Type | Individual |
| Full Name | BRIAN W PECK |
| Credential | OD |
| Practice Address |
425 So 2nd St Midwest Vision Clinic Plc Clinton IA 52732 |
| Mailing Address |
425 So 2nd St Clinton IA 52732 |
| Practice Telephone | 5632420223 |
| Practice Fax Number | 5632426864 |
| Mailing Telephone | 5632420223 |
| Mailing Fax Number | 5632426864 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2007-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 01959 | IA | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | IL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | BCBS | 48079 | 01 |
| IA | 0182824 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740479443 | Brian Richard Peck | Dentist | 451 Elm Ave, Haddonfield, NJ 08033-2644 | 2007-10-18 |
| 1720622830 | Brian Peck | Chiropractor | 2428 Santa Monica Blvd Ste 308, Santa Monica, CA 90404-2046 | 2019-10-31 |
| 1356743223 | Brian Peck | Psychologist | 18471 Haggerty Rd, Northville, MI 48168-8513 | 2014-09-22 |
| 1447537436 | Brian Peck | Social Worker | 2076 S Eagle Rd, Meridian, ID 83642-6707 | 2011-11-04 |
| 1629036868 | Brian Peck | Internal Medicine | 1389 W Main St, Suite 120, Waterbury, CT 06708-3104 | 2006-05-03 |
| Street Address |
425 SO 2ND ST MIDWEST VISION CLINIC PLC |
| City | CLINTON |
| State | IA |
| Zip Code | 52732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639104045 | Rebecca L Peck | Optometrist | 425 So 2nd St, Midwest Vision Clinic Plc, Clinton, IA 52732 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891343240 | Janet R Graf | Technician | 450 South 19th St., Clinton, IA 52732 | 2019-08-29 |
| 1346807443 | Karen Daniels | Nurse Practitioner | 2701 Frienship Trl, Apt 1001, Clinton, IA 52732 | 2019-05-23 |
| 1053835256 | Linda Karina Garcia | Physician Assistant | 1410 N Fourth St, Clinton, IA 52732 | 2017-07-29 |
| 1821528423 | Tricia Lee Grimes | Technician | 2349 Dunham St, Clinton, IA 52732 | 2017-06-15 |
| 1750822425 | Danielle Judd | Skilled Nursing Facility | 2220 N 5th St, Clinton, IA 52732 | 2017-03-15 |
| 1689047185 | Connell Family Chiropractic Pllc | Chiropractor | 1485 Main Avenue, Clinton, IA 52732 | 2015-11-05 |
| 1942619713 | Reese Raymond Petersen | Chiropractor | 2319 S 19th St, Clinton, IA 52732 | 2014-08-06 |
| 1487942298 | Wagner Pharmacy Company | Pharmacy | 1726 N. 2nd Street, Clinton, IA 52732 | 2011-07-13 |
| 1275829921 | Rebecca Plante | Pharmacist | 1309 N 2nd Street, Clinton, IA 52732 | 2011-06-21 |
| 1639318363 | Ryan P Connell | Chiropractor | 1437 Main Ave, Clinton, IA 52732 | 2009-02-19 |
| Find all providers in zip 52732 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104443159 | National Vision Inc | Optometrist | 1917 W 1800 N Ste D1, Clinton, UT 84015-8558 | 2020-06-25 |
| 1871041707 | Megan Claire Mannen | Optometrist | 1448 N 2000 W Ste 3, Clinton, UT 84015 | 2016-09-20 |
| 1609231752 | Steven D. Elliott, O.d. & Associates, Inc. | Optometrist | 2681 Andersonville Hwy Ste 101, Clinton, TN 37716-6706 | 2015-12-16 |
| 1558737197 | Spectrum Eye Care Solutions,llc | Optometrist | 5054 Williamson Rd, Clinton, MS 39056-9413 | 2015-08-18 |
| 1245621978 | Ija Development Firm LLC | Optometrist | 123a Highway 80 E, Clinton, MS 39056-4738 | 2015-02-17 |
| 1336427822 | Capitaleyes, Inc | Optometrist | 929 Highway 80 E, Clinton, MS 39056-5246 | 2011-08-01 |
| 1093955262 | Tonya Cannon Stewart, Od, Pllc | Optometrist | 45 West Lakeview Drive, Clinton, MS 39056-5221 | 2009-03-02 |
| 1366605396 | Gene L Christensen | Optometrist | 1632 N 2000w, Clinton, UT 84015 | 2008-07-09 |
| 1164619094 | Ray N Labelle | Optometrist | 106 Indian Hills Cir, Clinton, TN 37716-6562 | 2007-09-25 |
| 1144422577 | Optical 2000 | Optometrist | 815 Highway 80 E, Clinton, MS 39056-5252 | 2007-06-05 |
| Find all providers in CLINTON | ||||
Please comment or provide details below to improve the information on BRIAN W PECK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.