Staci Palmer Perez, OD.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1738 Issued in NC

Practice address

3929 Tinsley Dr
Suite 101
High Point, NC 27265-1530

Phone

(336) 841-2028

Fax

(336) 841-2029

NPI assigned

Aug 10, 2005

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 NC

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

Southern College of Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Laser Defined Vision

  • Ophthalmology Physician
  • Greensboro, NC
  • NPI 1396011003
  Medicare reassignment NPD
• Progressive Vision Optometric Group P.a.

  • Optometrist
  • High Point, NC
  • NPI 1700056066
  Medicare reassignment NPD
• Shapiro Eye Care PA

  • Ophthalmology Physician
  • Greensboro, NC
  • NPI 1376544643
  NPD (past)

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1528069754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3929 TINSLEY DR",
            "address_2": "SUITE 101",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272651530",
            "telephone_number": "336-841-2028",
            "fax_number": "336-841-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3929 TINSLEY DR",
            "address_2": "SUITE 101",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272651530",
            "telephone_number": "336-841-2028",
            "fax_number": "336-841-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "STACI",
        "middle_name": "PALMER",
        "name_prefix": "Dr.",
        "credential": "OD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89093A8",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Felisa K. Peguese
• Jason Pelletier, PT
• Latanya Williams Pender, RN
• Stephen D Penrod, D.C.
• Joseph Nelson Perez Jr., O.D.
• Kenneth Tilman Perkins, DDS PA
• Roni Perrell
• Angela Lynn Doss Perry, MD
• Nichole Marie Perry, MD
• Lillian Eva Persinger, LCSW-A

• Optometrist in High Point, NC
• Providers in High Point, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.