Elizabeth Perez, OD, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

6662T Issued in TX

Legal business name

ELIZABETH PEREZ, OD, PA

Doing business as

Mira Vision Boutique

Practice address

701 E Houston St
Beeville, TX 78102-5023

Phone

(361) 362-2020

Fax

(361) 362-2030

NPI assigned

Feb 3, 2010

Last updated

Dec 9, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Elizabeth Perez, O.D.NPI 1518075266

Title

Owner

Phone

(361) 387-5300

Specialties & licenses 1

Addresses

Other names 1

• Mira Vision Boutique Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Perez, O.D.

  • Optometrist
  • Alice, TX
  • NPI 1518075266
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1770815573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E HOUSTON ST",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "781025023",
            "telephone_number": "361-362-2020",
            "fax_number": "361-362-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E HOUSTON ST",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "781025023",
            "telephone_number": "361-362-2020",
            "fax_number": "361-362-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH PEREZ, OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-387-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6662T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mira Vision Boutique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• DM Rural Health Partners (DM Integrated Health Partners)
• Dr. Alvaro E Rolong MD, PLLC
• Maria Grace Dudley, RPH
• Dunn Medical Associates PA
• Elite Medical Services
• Amanda Ellisor, FNP
• Michelle Louise Engleman, FNP-BC
• David Allen Escobedo, PHARM.D.
• Sylvia A. Estrada
• Exclusive Home Health and Hospice Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.