Perez Li Ophthalmology Group PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

01025158A Issued in IN

Legal business name

PEREZ LI OPHTHALMOLOGY GROUP PC

Practice address

2905 Enterprise Dr
Anderson, IN 46013-9667

Phone

(765) 649-7146

Fax

(765) 646-6042

NPI assigned

Sep 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ching Li, M.D.NPI 1437351558

Title

Owner

Phone

(765) 649-7146

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Ching Li, M.D.

  • Specialist
  • Anderson, IN
  • NPI 1437351558

  Ophthalmology

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1457547069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 ENTERPRISE DR",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460139667",
            "telephone_number": "765-649-7146",
            "fax_number": "765-646-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 ENTERPRISE DR",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460139667",
            "telephone_number": "765-649-7146",
            "fax_number": "765-646-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEREZ LI OPHTHALMOLOGY GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "CHING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-649-7146",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01025158A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100173060",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Sue Ann Peasley, NP
• Joseph Peck
• Mark Randall Pefley, DDS
• Mary Ellen Ellen Peirson, LCSW
• Carrie Joy Pelc, LMHC
• Donald M Perez, M.D.
• Katelynn Nichole Perez, RBT
• Najwa Pervin, M.D
• Scott H Peterson, LMHC
• Kathryn Petry, DDS

• Ophthalmology Physician in Anderson, IN
• Providers in Anderson, IN by specialty
• Ophthalmology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.