Individual provider Active NPI

Maverick Michael Perich, DO

  • Ophthalmology Physician
  • New Port Richey, FL
National Provider Identifier
1104387968
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
OS20411 Issued in FL
Practice address
2020 Seven Springs Blvd
New Port Richey, FL 34655-3933
Phone
(727) 372-1311
NPI assigned
Mar 26, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X OS20411 FL Primary

Addresses

Primary practice location

2020 Seven Springs Blvd
New Port Richey, FL 34655-3933

Mailing address

2020 Seven Springs Blvd
New Port Richey, FL 34655-3933
Phone (727) 372-1311

Other practice location 1

11809 N Dale Mabry Hwy
Tampa, FL 33618-3505
Phone (813) 963-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231101000558 FL Practitioner - Ophthalmology 1153650833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Larry M Perich DO PAGroup PAC ID 8224060553, 11 clinicians

Practice addresses (Care Compare)

11809 N Dale Mabry Hwy
Tampa, FL 33618-3505
Phone (813) 963-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Larry M. Perich Dopa Ophthalmology CurrentSince Sep 1, 2023 Accepting new patients
Larry M. Perich Dopa Past Accepting new patients

Locations

2020 Seven Springs Blvd
New Pt Richey, FL 34655
Phone (727) 372-1311

5363 Spring Hill Dr
Spring Hill, FL 34606
Phone (352) 683-1160

11809 N Dale Mabry Hwy
Tampa, FL 33618
Phone (813) 265-2221

13940 N US Highway 441
Ste 503
The Villages, FL 32159
Phone (352) 750-5882

2621 Windguard Cir
Ste 101
Wesley Chapel, FL 33544
Phone (727) 376-7000

6905 Medical View Ln
Zephyrhills, FL 33542
Phone (813) 788-2020

Organizations & group practices 2

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": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1104387968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 SEVEN SPRINGS BLVD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346553933",
            "telephone_number": "727-372-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 SEVEN SPRINGS BLVD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346553933",
            "telephone_number": "727-372-1311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11809 N Dale Mabry Hwy",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336183505",
            "country_code": "US",
            "telephone_number": "813-963-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERICH",
        "first_name": "MAVERICK",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "OS20411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.