Jose a. Perez

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

DR4076 Issued in TX

Legal business name

JOSE A. PEREZ

Doing business as

PDP Optical

Practice address

1919 North Loop W
Suite 170 a
Houston, TX 77008-1374

Phone

(703) 802-2020

Fax

(713) 802-2022

NPI assigned

Jan 9, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Jose A Perez, ABO

Title

Owner

Phone

(713) 802-2020

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• PDP Optical Doing business as

Locations

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1083899926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 NORTH LOOP W",
            "address_2": "SUITE 170 A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081374",
            "telephone_number": "703-802-2020",
            "fax_number": "713-802-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 NORTH LOOP W",
            "address_2": "SUITE 170 A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081374",
            "telephone_number": "703-802-2020",
            "fax_number": "713-802-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE A. PEREZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-802-2020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ABO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TX",
            "license": "DR4076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086549501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0865495-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PDP Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Ashley Jorgensen, PA-C
• Joel R Jorgensen, PA-C
• Shelia Jorgensen, LPC
• Abigayle Jorgenson, PA-C
• Jose a Gutierrez MD PA (Psychiatric Center of Houston)
• Jose C. Sagbini, M.D. P.a.
• Jose Fernando Zavaleta M.D., P.a. (Diabetes Metabolic Center)
• Jose G. Monsalvez, M.D., P.a.
• Jose L. Estrella
• Jose V. Iglesias MD PA

• Eyewear Supplier in Houston, TX
• Providers in Houston, TX by specialty
• Eyewear Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.