Active NPI
Luis M Perez Sr., O.D.,F.A.A.O.
- Optometrist
- Los Angeles, CA
National Provider Identifier
1497735427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 12750
- Practice address
- 3352 Whittier Blvd
Los Angeles, CA 90023-2206 - Phone
- (323) 268-1131
- Fax
- (323) 268-1530
- NPI assigned
- Jan 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 12750 | CA | Primary |
Addresses
Primary practice location
3352 Whittier Blvd
Los Angeles, CA 90023-2206
Mailing address
3352 Whittier Blvd
Los Angeles, CA 90023-2206
Phone (323) 268-1131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0127500 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080122000733 | CA | Practitioner - Optometry | 8820048598 | Practice locations: Los Angeles, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 1992
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3350 -52 Whittier Blvd
Los Angeles, CA 90023-2206
Phone (323) 268-1131
3350 Whittier Blvd
Los Angeles, CA 90023-2206
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734652800000",
"number": "1497735427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3352 WHITTIER BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900232206",
"telephone_number": "323-268-1131",
"fax_number": "323-268-1530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3352 WHITTIER BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900232206",
"telephone_number": "323-268-1131",
"fax_number": "323-268-1530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "LUIS",
"middle_name": "M",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "O.D.,F.A.A.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-17",
"last_updated": "2024-12-20",
"certification_date": "2024-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "12750",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0127500",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.