Active NPI
Anthony Perez, ABO
- Optician
- River Oaks, TX
National Provider Identifier
1003538737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 192922
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 192922 | TX | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| That Eye Place, LLC | Current | 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.
-
- Eyewear Supplier
- Fort Worth, TX
- NPI 1972226942
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.