Active NPI
Luis Perez, O.D.
- Optometrist
- Gun Barrel City, TX
National Provider Identifier
1760596456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6799T
- Practice address
- 1200 W Main St
Suite a
Gun Barrel City, TX 75156-5320 - Phone
- (903) 880-9900
- Fax
- (903) 880-9902
- NPI assigned
- Aug 18, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 6799T | TX | Primary |
Addresses
Primary practice location
1200 W Main St
Suite a
Gun Barrel City, TX 75156-5320
Mailing address
3323 S Loop 256
Palestine, TX 75801-6977
Phone (903) 723-1010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 178298901 | Medicaid | TX |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6799T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luis G. Perez-Rivera OD Optometric Corporation | Optometrist | Current | Accepting new patients |
| Patterson Optical, P.a. | Optometrist | Past | Accepting new patients |
| Lincoln Physical Therapy and Sports Rehab LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Optometrist
- San Diego, CA
- NPI 1467012740
-
- Optometrist
- Sherman, TX
- NPI 1164642138
-
- Physical Therapist
- Lincoln, NE
- NPI 1891846572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760596456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3323 S LOOP 256",
"city": "PALESTINE",
"state": "TX",
"postal_code": "758016977",
"telephone_number": "903-723-1010",
"fax_number": "903-723-0314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 W MAIN ST",
"address_2": "SUITE A",
"city": "GUN BARREL CITY",
"state": "TX",
"postal_code": "751565320",
"telephone_number": "903-880-9900",
"fax_number": "903-880-9902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "LUIS",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "6799T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "178298901",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gun Barrel City, 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.