1164151569 NPI number — PEYTON LEE MYERS OD

Table of content: PEYTON LEE MYERS OD (NPI 1164151569)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164151569 NPI number — PEYTON LEE MYERS OD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MYERS
Provider First Name:
PEYTON
Provider Middle Name:
LEE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
OD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1164151569
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/09/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
725 CIMMARON DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEVADA
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
50201-2285
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
515-509-6319
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
915 ROBINS SQUARE DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROBINS
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
52328-9649
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
319-294-8888
Provider Business Practice Location Address Fax Number:
319-294-4299
Provider Enumeration Date:
06/09/2022

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X , with the licence number:  114562 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)