Vernon Peryea,Optometrist LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV006321-1 Issued in NY

Legal business name

VERNON PERYEA,OPTOMETRIST LLC

Doing business as

Millbrook Family Eyecare

Practice address

61 Front St
Millbrook, NY 12545-5961

Phone

(845) 677-5012

NPI assigned

May 10, 2011

Last updated

Sep 11, 2024By 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

Vernon Peryea, ODNPI 1376505396

Title

Owner

Phone

(845) 221-5310

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Millbrook Family Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

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.

• Vernon Allen Peryea, OD

  • Optometrist
  • Peekskill, NY
  • NPI 1376505396
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1801188776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 426",
            "city": "HOPEWELL",
            "state": "NY",
            "postal_code": "125330426",
            "telephone_number": "845-221-5310",
            "fax_number": "845-226-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 FRONT ST",
            "city": "MILLBROOK",
            "state": "NY",
            "postal_code": "125455961",
            "telephone_number": "845-677-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNON PERYEA,OPTOMETRIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-10",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "PERYEA",
        "authorized_official_first_name": "VERNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-221-5310",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006321-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "TUV0063211",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millbrook Family Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Margaret Anne Jamie Turndorf, PH.D. LCSWR
• Jenna Turner, PT, DPT
• Roberto Valoy Jr.
• Charles Scott Vandebogart Jr., ATC
• Melinda Vazquez, LMSW
• Vincents Pharmacy Inc
• William S. Bremiller (Millbrook Orthopedic & Sports Physical Therapy)
• Donna B Yerry, R.N.
• Kandice Margaret Zakarian, ATC
• Anne Cecelia Zukowski, LPN

• Optometrist in Millbrook, NY
• Providers in Millbrook, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.