Edgar S Perez OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

46007814 Issued in IL

Legal business name

EDGAR S PEREZ OD PC

Practice address

1477 E Oakton St
Des Plaines, IL 60018-2119

Phone

(847) 824-2200

Fax

(847) 299-1054

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Edgar Samuel PerezNPI 1891841052

Title

President/Treasurer

Phone

(847) 824-2200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edgar Samuel Perez, O. D.

  • Optometrist
  • Des Plaines, IL
  • NPI 1891841052
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1104034933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1477 E OAKTON ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600182119",
            "telephone_number": "847-824-2200",
            "fax_number": "847-299-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1477 E OAKTON ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600182119",
            "telephone_number": "847-824-2200",
            "fax_number": "847-299-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGAR S PEREZ OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT/TREASURER",
        "authorized_official_telephone_number": "847-824-2200"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "46007814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.