Active NPI
Michelle Lynay Perry, O.D.
- Optometrist
- Southlake, TX
National Provider Identifier
1548388358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 06499 T
- Practice address
- 2904 Yorkshire CT
Southlake, TX 76092-5626 - Phone
- (817) 431-5026
- NPI assigned
- Mar 27, 2007
- Sex
- Female
- 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 | 06499 T | TX | Primary |
Addresses
Primary practice location
2904 Yorkshire CT
Southlake, TX 76092-5626
Mailing address
2904 Yorkshire CT
Southlake, TX 76092-5626
Phone (817) 431-5026
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06499 T | Other | TX | TEXAS OPTOMETRY LICENSE |
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 |
|---|---|---|---|
| 06499 T | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548388358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2904 YORKSHIRE CT",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760925626",
"telephone_number": "817-431-5026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2904 YORKSHIRE CT",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760925626",
"telephone_number": "817-431-5026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "MICHELLE",
"middle_name": "LYNAY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "06499 T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS OPTOMETRY LICENSE",
"identifier": "06499 T",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.