PETER JOHN STAN OD
NPI 1710569819
Optometrist in St Augustine, FL
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 10 additional practice locations, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 10
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Peter John Stan Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Peter Stan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
St Augustine, FL 32084
- Reassigned Medicare billing, Florida enrollment
- 6 clinicians in this Medicare group
Jacksonville, FL 32246
- Reassigned Medicare billing, Florida enrollment
- 67 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 10
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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.
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.
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.
ST AUGUSTINE, FL 32084
ST AUGUSTINE, FL 32084
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 Peter Stan's NPI number?
The NPI number for Peter Stan is 1710569819. It was assigned to this individual provider in the NPPES registry on April 27, 2021.
Where is Peter Stan located?
Peter Stan practices at 1400 Us Highway 1 S, St Augustine, FL 32084. The listed phone number is (904) 829-2286.
What is Peter Stan's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Peter Stan enrolled in Medicare?
Yes. Peter Stan is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Peter Stan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Peter Stan reassigns Medicare benefits to 2 organizations: Eye Center Of St Augustine PA (St Augustine, FL) and Family First Vision Care, PLLC (Jacksonville, FL). Each 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 Peter Stan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Peter Stan accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 13 other insurers list Peter Stan 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 Peter Stan was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.
# Peter John Stan, OD · NPI 1710569819
Optometrist provider in St Augustine, Florida. Individual provider, active in the CMS NPPES registry since April 27, 2021.
## Identity
- **NPI:** 1710569819 (Entity type: Individual)
- **Enumerated:** April 27, 2021
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OPT.006933 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 1400 US HIGHWAY 1 S, St Augustine, FL 32084-4211
- **Phone:** (904) 829-2286 · **Fax:** (904) 810-5687
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Eye Center Of St Augustine PA (NPI 1275535726, St Augustine, FL); Family First Vision Care, PLLC (NPI 1104341882, Jacksonville, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1710569819) · Data from the CMS NPPES public registry.