Individual provider Active NPI

Anthony Perez, ABO

  • Optician
  • River Oaks, TX
National Provider Identifier
1003538737
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
192922 Issued in TX
Practice address
4829 Green Oaks Dr
River Oaks, TX 76114-3004
Phone
(682) 266-4444
Fax
(817) 886-3708
NPI assigned
Sep 19, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Technician/Technologist 156F00000X
Ophthalmic Technician/Technologist 156FX1100X
Optometric Technician 156FX1202X
Optician 156FX1800X 192922 TX Primary

Addresses

Primary practice location

4829 Green Oaks Dr
River Oaks, TX 76114-3004

Mailing address

4829 Green Oaks Dr
River Oaks, TX 76114-3004
Phone (682) 266-4444

Other practice location 1

3464 Blue Bonnet Cir Ste 120
Fort Worth, TX 76109-2915
Phone (682) 266-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
192922TXMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
That Eye Place, LLC CurrentSince Sep 25, 2022 Accepting new patients

Locations

1888 Green Oaks Rd
Ste 1980
Fort Worth, TX 76116
Phone (682) 266-4444

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1003538737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4829 GREEN OAKS DR",
            "city": "RIVER OAKS",
            "state": "TX",
            "postal_code": "761143004",
            "telephone_number": "682-266-4444",
            "fax_number": "817-886-3708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4829 GREEN OAKS DR",
            "city": "RIVER OAKS",
            "state": "TX",
            "postal_code": "761143004",
            "telephone_number": "682-266-4444",
            "fax_number": "817-886-3708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3464 Blue Bonnet Cir Ste 120",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761092915",
            "country_code": "US",
            "telephone_number": "682-266-4444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ANTHONY",
        "credential": "ABO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-19",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1100X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1202X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optometric Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "TX",
            "license": "192922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in River Oaks, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.