Individual provider Active NPI

Victoria Perez, O.D.

  • Optometrist
  • Alice, TX
National Provider Identifier
1164873667
Registry record updated Jun 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8886 Issued in TX
Practice address
62 N Cameron St
Alice, TX 78332-4953
Phone
(361) 664-3571
NPI assigned
Jun 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8886 TX Primary

Addresses

Primary practice location

62 N Cameron St
Alice, TX 78332-4953

Mailing address

999 County Road 116
Alice, TX 78332-9357
Phone (361) 562-6036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190204000663 TX Practitioner - Optometry 8123365863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9234 N Loop 1604
Suite 104
San Antonio, TX 78249-2984
Phone (210) 417-4177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alamo City Vision Care, LLC Optometrist CurrentSince Oct 17, 2018 Accepting new patients
River City Eyecare Optometrist CurrentSince Oct 17, 2018 Accepting new patients
Victoria C. Perez, O.D., PLLC Optometrist Past Accepting new patients

Locations

9234 N Loop 1604 W
Ste 104
San Antonio, TX 78249
Phone (210) 417-4177

Organizations & group practices 3

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": "1466899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466899200000",
    "number": "1164873667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 COUNTY ROAD 116",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783329357",
            "telephone_number": "361-562-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 N CAMERON ST",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324953",
            "telephone_number": "361-664-3571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "VICTORIA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-26",
        "last_updated": "2016-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alice, TX

Sources for this page

Verify at the official NPI Registry.