PETER G THEODOROUS (OD) – Optometrist, NPI 1407843535

PETER G THEODOROUS (OD) is a healthcare provider. based in State college, Pennsylvania. specializing in Optometrist. They hold the professional credentials OD. They hold a License No. OEG000709 (PA). The NPI Number for PETER G THEODOROUS (OD) is 1407843535

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
PETER G THEODOROUS (OD)
NPI
1407843535
Phone
(814) 234-2015
Address
428 WINDMERE DR
Enumeration Date
4 October 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
8142342015
Graduation Year
1990 (36 years ago)
PAC ID
8729154992
Group Practice PAC ID
4688740855
Professional Enrollment ID
I20080918000034
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for PETER G THEODOROUS (OD)

  • 428, Windmere Drive, Canterbury Crossing, State College, Centre County, Pennsylvania, 16801, United States

    SUITE 100

    STATE COLLEGE, PA 168017668

    Phone: (814) 234-2015

    Fax: (814) 238-5300

    Type: Mailing

  • Penns Valley Road, Spring Mills, Gregg Township, Centre County, Pennsylvania, 16875, United States

    SUITE 3

    SPRING MILLS, PA 168758500

    Phone: (814) 422-8006

    Fax: (814) 422-8561

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 16801)

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Provider's Procedures

PETER G THEODOROUS (OD) performs procedures in Optometrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYPA92012Eye and medical examination for diagnosis and treatment, established patient5146
OPTOMETRYPA92083Measurement of field of vision during daylight conditions3735
OPTOMETRYPA92134Diagnostic imaging of retina1211

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: 4688740855View full group profile
NameSpecialtyState
O P T O M E T R YPA
-PA
O P T O M E T R YPA
O P T O M E T R YPA
O P T O M E T R YPA
O P T O M E T R YPA
O P T O M E T R YPA
O P T O M E T R YPA
-PA
O P T O M E T R YOK

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Frequently asked questions

How do payers reference PETER G THEODOROUS (OD)?
For PETER G THEODOROUS (OD), use NPI 1407843535 as the unique 10-digit identifier.
Is there an active status for PETER G THEODOROUS (OD)?
For scheduling context, PETER G THEODOROUS (OD) is shown as active in the registry.
What kind of doctor is PETER G THEODOROUS (OD)?
PETER G THEODOROUS (OD) is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with PETER G THEODOROUS (OD)?
Directory geography for PETER G THEODOROUS (OD) centers on State College, Pennsylvania.
Does PETER G THEODOROUS (OD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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