Dave Serafico Perey, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

10912T Issued in CA

Practice address

8125 Fletcher Pkwy
La Mesa, CA 91942-2934

Phone

(619) 469-0450

Fax

(619) 697-1786

NPI assigned

Dec 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194881383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 SANTA LUCIA RD",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919131502",
            "telephone_number": "619-482-2328",
            "fax_number": "619-697-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8125 FLETCHER PKWY",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919422934",
            "telephone_number": "619-469-0450",
            "fax_number": "619-697-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREY",
        "first_name": "DAVE",
        "middle_name": "SERAFICO",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10912T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark W Penn, M.D.
• Jeffrey Penta
• Eleni Pentheroudakis, MD
• Adriana Peraza-Garcia, PPS
• Liana Perera
• Jaclyn Perez
• Julie Marie Perez, P.T.
• Kylie Yolanda Perez
• Matthew D. Perez, M.P.T.
• Zachary Periharos, PA-C

• Optometrist in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.