PETER JOHN STAN OD
NPI 1710569819
Optometrist in St Augustine, FL

Active since April 27, 2021PECOS EnrolledAccepts Medicare Assignment
83.7/100
CMS Quality Rating
1400 US HIGHWAY 1 S, ST AUGUSTINE, FL 32084(904) 829-2286(904) 810-5687 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 12, 2025, Apr 27, 2021 (2 updates tracked since 2021).

About Peter John Stan Od NPPES

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

PETER JOHN STAN OD (NPI 1710569819) is an individual optometrist in St Augustine, Florida, licensed in Ohio (OPT.006933) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1710569819
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NamePETER JOHN STANCredential: OD
Location Address1400 US HIGHWAY 1 SSt Augustine, FL 32084-4211
Mailing Address1400 Us Highway 1 SSt Augustine, FL 32084-4211 · (904) 829-2286 · Fax (904) 810-5687
Fax(904) 810-5687
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 27, 2021
Last NPPES UpdateJune 19, 20262 updates tracked since enumeration
NPPES CertifiedJune 19, 2026
NPI 1710569819 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 · OPT.006933
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.

1400 US HIGHWAY 1 S, St Augustine, FL 32084

Secondary Practice Locations 3

Location 1319 W Town Pl Ste 8St Augustine, FL 32092-3102 · Phone (904) 940-9200
Location 2800 Zeagler Dr Ste 120Palatka, FL 32177-3827 · Phone (386) 328-8369
Location 310 Florida Park Dr Ste APalm Coast, FL 32137-3893 · Phone (386) 445-1279

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Peter John Stan Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719373810
PECOS Enrollment IDI20220329001099
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
1,182 services962 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
832 services469 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
358 services335 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
322 services251 patients
Ultrasound scan of cornea to determine thickness 76514
An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.
270 services270 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
228 services212 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32084 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost45.68

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
1400 US HIGHWAY 1 S
ST AUGUSTINE, FL 32084
Clinic/Center (Ambulatory Surgical)
1400 US HIGHWAY 1 S
ST AUGUSTINE, FL 32084
Specialist
1400 US HIGHWAY 1 S
ST AUGUSTINE, FL 32084
Specialist
1400 US HIGHWAY 1 S
ST AUGUSTINE, FL 32084
Ophthalmology
1400 US HIGHWAY 1 S
ST AUGUSTINE, FL 32084
Nurse Anesthetist, Certified Registered
1400 US HIGHWAY 1 S
ST AUGUSTINE, FL 32084
Nurse Anesthetist, Certified Registered
1400 US HIGHWAY 1 S
ST AUGUSTINE, FL 32084
Ophthalmology
1400 US HIGHWAY 1 S
ST AUGUSTINE, FL 32084

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710569819, enumerated as an "individual" on April 27, 2021.

The provider is located at 1400 US HIGHWAY 1 S ST AUGUSTINE, FL 32084 and the phone number is (904) 829-2286.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, Blue. Please consult your insurance carrier or call the provider to verify.