Alexa Raquel Pereira, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA2858 Issued in MD

Practice address

11300 Rockville Pike Ste 1202
Rockville, MD 20852-3040

Phone

(301) 896-0890

NPI assigned

Jul 7, 2022

Sex

Female

Sole proprietor

No

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

Enrolled in DC

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

Specialty

Optometry

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Visionary Ophthalmology LLCGroup PAC ID 4587795687, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Visionary Ophthalmology LLC

  dba Visionary Eye Doctors

  • Ophthalmology Physician
  • Rockville, MD
  • NPI 1952595084

  DC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661040000000",
    "number": "1205569159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 ROCKVILLE PIKE STE 1202",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523040",
            "telephone_number": "301-896-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 ROCKVILLE PIKE STE 1202",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523040",
            "telephone_number": "301-896-0890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 Connecticut Ave NW Ste 125",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200082332",
            "country_code": "US",
            "telephone_number": "301-896-0890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREIRA",
        "first_name": "ALEXA",
        "middle_name": "RAQUEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-08-21",
        "certification_date": "2022-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dienye Pepple
• Shikel Percell
• Perceptive Minds Wellness LLC
• Cecilia Erika Pereira Bianchi
• Judith Pereira Pereira
• Cecilia Pereira
• Helen Pereira
• Mayo Perez Cazares
• Indira N/a Perez Falcon, ABAT
• Mayra Arly Perez Martinez

• Optometrist in Rockville, MD
• Providers in Rockville, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.