Joseph Nelson Perez Jr., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

NC 1689 Issued in NC

Practice address

3929 Tinsley Dr
Ste 101
High Point, NC 27265-1531

Phone

(336) 841-2028

Fax

(336) 841-2029

NPI assigned

Jun 23, 2005

Last updated

Nov 15, 2011By the provider in NPPES

Sex

Male

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Progressive Vision Optometric Group P.a.

  • Optometrist
  • High Point, NC
  • NPI 1700056066
  Medicare reassignment NPD

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1699771642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3929 TINSLEY DR",
            "address_2": "STE 101",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272651531",
            "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": "STE 101",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272651531",
            "telephone_number": "336-841-2028",
            "fax_number": "336-841-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JOSEPH",
        "middle_name": "NELSON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "NC 1689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790911A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tessa Anne Pearson, MSW
• Felisa K. Peguese
• Jason Pelletier, PT
• Latanya Williams Pender, RN
• Stephen D Penrod, D.C.
• Staci Palmer Perez, OD.
• Kenneth Tilman Perkins, DDS PA
• Roni Perrell
• Angela Lynn Doss Perry, MD
• Nichole Marie Perry, MD

• 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 Nov 15, 2011; 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.