Elizabeth Perez, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6662T Issued in TX

Practice address

2701 E Main St
Alice, TX 78332-4194

Phone

(361) 453-1188

NPI assigned

Aug 25, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Elizabeth Perez, OD, PA

  dba Mira Vision Boutique

  • Optometrist
  • Beeville, TX
  • NPI 1770815573
  Medicare reassignment NPD Authorized official
• Walz Vision PA

  dba Bay Area Vision & contact lens center

  • Optometrist
  • Corpus Christi, TX
  • NPI 1417069196
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399248000000",
    "number": "1518075266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 E MAIN ST",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324194",
            "telephone_number": "361-453-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 E MAIN ST",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324194",
            "telephone_number": "361-453-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2014-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6662T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176429201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Denise Pena, FNP
• Penjamo Inc. (Our Brother's Keeper Provider Services)
• Judy G Perdue, NP
• Clarissa Perez, ATC, LAT
• Elena Perez
• Kristina Lamar Perez, MS., LPC
• Maria Annabel Perez, NP
• Pedro Perez III
• Victoria Perez, O.D.
• Parpim Petersen

• Optometrist in Alice, TX
• Providers in Alice, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; 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.