WILLIAM PEACOCK (NPI# 1437554623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437554623 |
| Entity Type | Organization |
| Organization Name | WILLIAM PEACOCK |
| Practice Address |
2255 Highway 71 Marianna FL 32448-2541 |
| Practice Telephone | 8505260067 |
| Practice Fax Number | 8505260069 |
| Mailing Telephone | 8505260067 |
| Mailing Fax Number | 8505260069 |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2016-06-10 |
| Authorized Official Name | WILLIAM STAN PEACOCK (OWNER) |
| Authorized Official Telephone | 8505260067 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPC1999 | FL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | OPTOMETRY BRANCH LICENSE | OPC1999 | 01 |
| Street Address |
2255 HIGHWAY 71 |
| City | MARIANNA |
| State | FL |
| Zip Code | 32448-2541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962429340 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2255 Highway 71, Marianna, FL 32448-2541 | 2006-07-16 |
| 1821698408 | Brandrail Brown | Pharmacist | 2255 Highway 71, Marianna, FL 32448-2541 | 2020-10-31 |
| 1528279742 | Douglas Carlton Neel Jr. | Pharmacist | 2255 Highway 71, Marianna, FL 32448-2541 | 2007-05-28 |
| 1851451462 | William Stan Peacock | Optometrist | 2255 Highway 71, Marianna, FL 32448-2541 | 2006-12-12 |
| 1154413706 | Wal-mart Stores East, Lp | Technician/Technologist | 2255 Highway 71, Marianna, FL 32448-2541 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356690846 | Stephanie James Tolin | Counselor | 2499 Pennsylvania Ave, Marianna, FL 32448 | 2012-08-30 |
| 1518085414 | Barbara M Kavanagh | Counselor | 3459 Seminole Lane, Marianna, FL 32448 | 2007-03-27 |
| 1235105818 | Daniel E Bontrager | Chiropractor | 4439 Jackson St, Marianna, FL 32448 | 2006-02-24 |
| 1760630156 | Judith Ann Hussey | Nurse Practitioner | 2944 Penn Ave Ste L, Marianna, FL 32448 | 2008-08-28 |
| 1194918854 | Gentiva Health Services (certified), Inc. | Home Health | 2491 Commercial Park Dr, Marianna, FL 32448-2521 | 2007-08-24 |
| 1265541536 | Elyssa Waller | Chiropractor | 2525 Commercial Park Dr, Marianna, FL 32448-2522 | 2006-08-30 |
| 1336539618 | Tammy Beavers | Home Health Aide | 2206 Fairview Rd, Marianna, FL 32448-2658 | 2015-01-26 |
| 1295921146 | Jackson County Association for Retarded Citizens, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2973 Pennsylvania Ave, Marianna, FL 32448-2713 | 2007-09-24 |
| 1922349695 | Steven R Morgan | Hearing Instrument Specialist | 2944 Pennsylvania Ave Suite E, Marianna, FL 32448-2714 | 2013-03-06 |
| 1467964668 | Audiology Services Company Usa, LLC | Clinic/Center | 2918 Penn Ave Ste C, Marianna, FL 32448-2715 | 2017-10-27 |
| Find all providers in zip 32448 | ||||
| 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 |
|---|---|---|---|---|
| 1073647848 | Mullis Eye Institute Inc | Optometrist | 4320 5th Ave, Marianna, FL 32446-2182 | 2007-03-15 |
| 1467469718 | Jonathan Simmons | Optometrist | 219 W. Chestnut, Marianna, AR 72360 | 2006-08-01 |
| 1518974070 | Simmons Eye Center | Optometrist | 219 W Chestnut St, Marianna, AR 72360-2212 | 2006-08-01 |
| 1336173350 | Pelt Eye Clinic, P.a. | Optometrist | 4340 Lafayette St, Marianna, FL 32446-2916 | 2006-07-10 |
| 1659347698 | Jeffrey K. Davis | Optometrist | 2922 Jefferson St, Marianna, FL 32446-3448 | 2006-02-28 |
| 1831256726 | Davis Optometry Group Pa | Optometrist | 2922 Jefferson St, Marianna, FL 32446-3448 | 2007-01-02 |
| 1851451462 | William Stan Peacock | Optometrist | 2255 Highway 71, Marianna, FL 32448-2541 | 2006-12-12 |
| 1013924174 | Alan E Pelt | Optometrist | 4340 Lafayette St, Marianna, FL 32446 | 2006-08-02 |
| 1598790891 | David G Pelt | Optometrist | 4340 Lafayette St, Marianna, FL 32446 | 2006-07-12 |
| 1881660827 | Marion Bert Davis Jr. | Optometrist | 2922 Jefferson St, Marianna, FL 32446-3448 | 2006-02-28 |
| Find all providers in MARIANNA | ||||
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| 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.