Perez Vision Clinic

Primary specialty

OptometristTaxonomy code 152W00000X

License

485 Issued in MS

Legal business name

PEREZ VISION CLINIC

Practice address

15312 Dedeaux Rd
Gulfport, MS 39503-3123

Phone

(228) 831-0515

Fax

(228) 832-1249

NPI assigned

Sep 29, 2015

Organization subpart

No

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

Authorized official

Name

Ashley Perez

Title

Office Manager

Phone

(228) 831-0515

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey J Perez, O.D.

  • Optometrist
  • Gulfport, MS
  • NPI 1467588400
  NPD (past)

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1225408628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15312 DEDEAUX RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033123",
            "telephone_number": "228-831-0515",
            "fax_number": "228-832-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15312 DEDEAUX RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033123",
            "telephone_number": "228-831-0515",
            "fax_number": "228-832-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEREZ VISION CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "228-831-0515"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Pullen Penico, MD
• Chancelyn S Penn, CNP
• Lauren Penny, SLP
• Pensacola Health Trust Inc
• Roy D Pepper Jr., DC
• Jeffrey J Perez, O.D.
• Carolyn Marie Peters, FNP-C
• Carolyn Patricia Peters, OTR/L
• Jaren Peters, RBT
• Darlene Ann Petersen, NP

• Optometrist in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.