PETERS FAMILY EYECARE ASSOCIATES
NPI 1699969030
Optometrist in Bryan, OH

Active since August 29, 2007CLIA 36D2085143 · Waiver
219 S MAIN ST, BRYAN, OH 43506(419) 636-3937(419) 636-2302 Get Directions Write a Review

NPPES record last updated: June 24, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Peters Family Eyecare Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETERS FAMILY EYECARE ASSOCIATES (NPI 1699969030) is a healthcare organization registered as an optometrist in Bryan, Ohio and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through February 8, 2028 and lists Randy L Peters, O.d./owner, as its authorized official.

NPPES Registry Identity

NPI1699969030
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NamePETERS FAMILY EYECARE ASSOCIATES
Location Address219 S MAIN STBryan, OH 43506-1759
Mailing Address219 S Main StBryan, OH 43506-1759 · (419) 636-3937 · Fax (419) 636-2302
Fax(419) 636-2302
Organization SubpartNo
Authorized OfficialRandy L PetersO.d./owner · (419) 636-3937
Enumeration DateAugust 29, 2007
Last NPPES UpdateJune 24, 2022
NPPES CertifiedJune 24, 2022
✔ NPI 1699969030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in OH · 4624/T1371
Definition
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.
219 S MAIN ST, Bryan, OH 43506

Other Identifiers 2

Other000000139777OH · Anthem Bcbs Pin
Other343703198007OH · Medical Mutual Ohio Pin

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peters Family Eyecare Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOhioEnrollment IDO20100930047458DME · Physician - OptometristDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Peters Family Eyecare Associates, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Optometry
NPI 1902866130
219 S MAIN ST
Bryan, OH 43506
(419) 636-3937
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1669095584
219 S MAIN ST
Bryan, OH 43506
(419) 636-3937
✔ PECOS✔ Accepts Medicare0.2 mi
Optometry
NPI 1225341233
28370 KENSINGTON LN STE A
Perrysburg, OH 43551
(419) 874-3125
✔ PECOS✔ Accepts Medicare50 mi
Optometry
NPI 1417521287
115 COLISEUM XING STE 58
Hampton, VA 23666
(757) 751-6236
✔ PECOS✔ Accepts Medicare533 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2085143

Peters Family Eyecare · Bryan, OH
Active · expires Feb 8, 2028
CLIA Number36D2085143
Laboratory TypePhysician Office
Certificate Effective DateFebruary 9, 2026
Certificate Expiration DateFebruary 8, 2028
Laboratory DirectorDr. Randy L. Peters
Laboratory Phone(419) 636-3937
Laboratory LocationPeters Family Eyecare219 S Main Street, Bryan, OH 43506
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Peters Family Eyecare carries, from the Medicare DMEPOS supplier directory.

Peters Family Eyecare

DMEPOS supplier · Bryan, OHOperated by Peters Family Eyecare Associates
✔

Accepts Medicare assignment

Peters Family Eyecare agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20636603
Medicare Participant SinceJanuary 3, 1998
Supplier Location219 S Main StBryan, OH 43506
Supplier Specialties
Optometrist Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peters Family Eyecare Associates's NPI number?

The NPI number for Peters Family Eyecare Associates is 1699969030. It was assigned to this organization in the NPPES registry on August 29, 2007.

Where is Peters Family Eyecare Associates located?

Peters Family Eyecare Associates is located at 219 S Main St, Bryan, OH 43506. The listed phone number is (419) 636-3937.

What is Peters Family Eyecare Associates's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Peters Family Eyecare Associates enrolled in Medicare?

Yes. Peters Family Eyecare Associates is registered in the Medicare PECOS enrollment system.

When is Peters Family Eyecare Associates's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Ohio, Physician - Optometrist) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Peters Family Eyecare Associates?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Peters Family Eyecare Associates. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Peters Family Eyecare Associates accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Peters Family Eyecare accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Peters Family Eyecare Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2085143) is associated with this NPI, valid through February 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Peters Family Eyecare Associates accept?

Health plans from Anthem Blue Cross and Blue Shield and BlueCross BlueShield of Tennessee list Peters Family Eyecare Associates as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peters Family Eyecare Associates was last updated on June 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.