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Active NPI 1407843535 Individual Practitioner Male Practitioner

Dr. Peter G Theodorous , OD

Optometrist • Spring Mills, PA

Professional Overview & Biography Verified Profile Summary

Dr. Peter Theodorous, OD is a registered healthcare professional specializing in Optometrist in Spring Mills, PA. Practice services are available at 4570 PENNS VALLEY RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient problem focused exam of visual system, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4570 Penns Valley Rd
Suite 3

Spring Mills, PA 168758500

Telephone 8144228006
Fax 8144228561
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Spring Mills, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Spring Mills, PA (2764 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
24.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
104 103 $140.00 $123.78
92012 Established patient problem focused exam of visual system
27 23 $93.00 $87.59
99213 Established patient office or other outpatient visit, typically 15 minutes
27 27 $92.56 $89.32
92145 Measurement of corneal pressure
22 19 $20.00 $12.05
92083 Exam of visual field with extended testing
20 18 $88.00 $61.46
92250 Photography of the retina
20 20 $85.00 $38.09
92133 Imaging of optic nerve
18 18 $72.00 $35.63

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License PA OEG000709

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Carol Myers , CRNP

Nurse Practitioner - Family

NPI 1265442396

Certified Registered Nurse Practitioner

Dr. William Young , DO

Family Medicine

NPI 1659422640

Doctor of Osteopathic Medicine (D.O.)

Dr. J Jones , MD

Internal Medicine

NPI 1821232125

Doctor of Medicine (M.D.)

Dr. Craig Pursell , DO

Family Medicine

NPI 1891846689

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4570 PENNS VALLEY RD, SUITE 3, SPRING MILLS, PA 168758500 (Tel: 8144228006)

📍
Updated Business Mailing Address July 08, 2007

Registered at 428 WINDMERE DR, SUITE 100, STATE COLLEGE, PA 168017668 (Tel: 8142342015)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PETER THEODOROUS, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #OEG000709 in PA)

🟢
Initial NPI Registration & Enumeration October 04, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407843535
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

428 Windmere Dr, Suite 100

State College, PA 168017668

Phone: 8142342015

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.