Active NPI
Louis T Perez, LDO4930
- Optician
- Tampa, FL
National Provider Identifier
1508335357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- DO4930
- Practice address
- 4040 W Waters Ave
Tampa, FL 33614-1958 - Phone
- (813) 488-8231
- NPI assigned
- Nov 21, 2018
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | DO4930 | FL | Primary |
Addresses
Primary practice location
4040 W Waters Ave
Tampa, FL 33614-1958
Mailing address
7472 Bay St NE
St Petersburg, FL 33702-5436
Phone (727) 254-1082
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO4930 | FL | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optical District LLC | Optician | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Optician
- Tampa, FL
- NPI 1275096661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542758400000",
"number": "1508335357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7472 BAY ST NE",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337025436",
"telephone_number": "727-254-1082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4040 W WATERS AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336141958",
"telephone_number": "813-488-8231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "LOUIS",
"middle_name": "T",
"credential": "LDO4930",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-11-21",
"last_updated": "2018-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "FL",
"license": "DO4930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.