Individual provider Active NPI

Jorge Francisco Perezvelasco, OD

  • Optometrist
  • Tampa, FL
National Provider Identifier
1184601023
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT2332 Issued in FL
Practice address
1312 W Fletcher Ave
Tampa, FL 33612-3330
Phone
(813) 908-0153
Fax
(813) 963-5071
NPI assigned
Dec 30, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT2332 FL Primary

Addresses

Primary practice location

1312 W Fletcher Ave
Tampa, FL 33612-3330

Mailing address

1312 W Fletcher Ave
Tampa, FL 33612-3330
Phone (813) 908-0153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20150921000955 GA Practitioner - Optometry 9032011911 Reassigns benefits to 1 organization
Practice locations: Elberton, GA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT2332FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Vision Centers, LLC Optometrist CurrentSince Nov 12, 2023 Accepting new patients
Accuvision Optical of Tarpon Springs Inc. Past Accepting new patients
Don R Dye OD Optometrist Past Accepting new patients

Locations

105 Trinity Pl
Athens, GA 30607
Phone (706) 433-2035

17 S Thomas St
Elberton, GA 30635
Phone (706) 283-2351

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1184601023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 W FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123330",
            "telephone_number": "813-908-0153",
            "fax_number": "813-963-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 W FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123330",
            "telephone_number": "813-908-0153",
            "fax_number": "813-963-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZVELASCO",
        "first_name": "JORGE",
        "middle_name": "FRANCISCO",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPT2332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.