RANDY L PETERS (O.D.) – Optometrist, NPI 1902866130

RANDY L PETERS (O.D.) is a healthcare provider. based in Bryan, Ohio. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 4624 T1371 (OH). The NPI Number for RANDY L PETERS (O.D.) is 1902866130

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
RANDY L PETERS (O.D.)
NPI
1902866130
Phone
(419) 636-3937
Address
1206 S MAIN ST
Enumeration Date
23 March 2006
Last Update Date
24 June 2022

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
4196363937
Graduation Year
1994 (32 years ago)
PAC ID
2860384195
Group Practice PAC ID
6002842028
Professional Enrollment ID
I20040817000005
Address ID
OH435061759BR219XXSTXX400

Contacts

Secure Messaging
pfeeyecare@petersfamilyeyecare.eyefinity-direct.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,618 OPTOMETRY in OH

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Provider Addresses for RANDY L PETERS (O.D.)

  • South Main Street, Bryan, Brazos County, Texas, 77803, United States

    BRYAN, OH 435062441

    Phone: (419) 636-3937

    Type: Mailing

  • 219 S MAIN ST

    BRYAN, OH 435061759

    Phone: (419) 636-3937

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $134.

Total Amount is formed as General ($134) + Research ($0) + Ownership ($0) = $134.

Last reported payment date: 2024-06-07 • Largest payer in this snapshot: CooperVision Inc. ($76).

Total Amount

$134

General + Research + Ownership

Payments

7

Total payment records

General Amount

$134

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-08-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040817000005IOptometryOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes283172$0
92014Established patient complete exam of visual system165165$0
92250Photography of the retina141137$0
92133Imaging of optic nerve11180$0
92083Exam of visual field with extended testing108100$0
View full utilization report →

Insurance plans in this area (ZIP 43506)

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Provider's Procedures

RANDY L PETERS (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYOH92134Diagnostic imaging of retina5750

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002842028View full group profile
NameSpecialtyState
O P T O M E T R YVA
O P T O M E T R YOH

Reviews

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Frequently asked questions

What unique ID ties claims to RANDY L PETERS (O.D.)?
NPI 1902866130 is assigned to RANDY L PETERS (O.D.) under the national enumeration system.
Is RANDY L PETERS (O.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does RANDY L PETERS (O.D.) list a primary specialty?
If you are matching referrals, note Optometrist for RANDY L PETERS (O.D.). Clinical services aligned with this taxonomy classification.
Does RANDY L PETERS (O.D.) practice in Ohio?
You will see Bryan, Ohio on file for RANDY L PETERS (O.D.) alongside any extra practice locations.
How can I contact RANDY L PETERS (O.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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