Active NPI
Perez Eye Center P L
- Ophthalmology Physician
- Tampa, FL
National Provider Identifier
1194005249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- PEREZ EYE CENTER P L
- Practice address
- 4506 Wishart PL
Tampa, FL 33603-2724 - Phone
- (813) 875-6588
- Fax
- (813) 873-3688
- NPI assigned
- Aug 22, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Margarita Whidden
- Title
- Administrator
- Phone
- (813) 875-6588
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
4506 Wishart PL
Tampa, FL 33603-2724
Mailing address
4506 Wishart PL
Tampa, FL 33603-2724
Phone (813) 875-6588
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004091300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Tampa, FL
- NPI 1407837032
-
- Ophthalmology Physician
- Tampa, FL
- NPI 1003897638
-
- Family Nurse Practitioner
- Tampa, FL
- NPI 1821567546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330387200000",
"number": "1194005249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4506 WISHART PL",
"city": "TAMPA",
"state": "FL",
"postal_code": "336032724",
"telephone_number": "813-875-6588",
"fax_number": "813-873-3688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4506 WISHART PL",
"city": "TAMPA",
"state": "FL",
"postal_code": "336032724",
"telephone_number": "813-875-6588",
"fax_number": "813-873-3688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEREZ EYE CENTER P L",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-22",
"last_updated": "2012-02-28",
"status": "A",
"authorized_official_last_name": "WHIDDEN",
"authorized_official_first_name": "MARGARITA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "813-875-6588",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004091300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.