John Perez, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

10838291-9934 Issued in UT

Practice address

20 W 7200 S
Midvale, UT 84047-3723

Phone

(801) 561-1300

NPI assigned

Jun 7, 2018

Last updated

Jun 7, 2018By 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

Medicare fee-for-service enrollment

Enrolled in UT, PA, ID, MT, ND, MO6 enrollments

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 6

Specialty

Optometry

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Elbowoods Memorial Health CenterGroup PAC ID 1052477494, 23 clinicians

Havre Optometric Clinic PLLPGroup PAC ID 1557402542, 4 clinicians

Practice addresses (Care Compare)

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.

• Ojo Eye Care LLC

  • Optometrist
  • Ogden, UT
  • NPI 1932818903

  PA

  Medicare reassignment NPD Authorized official
• Elbowoods Memorial Health Center

  dba Minne Tohe Health Center

  • Clinic/Center
  • New Town, ND
  • NPI 1831365519
  Medicare reassignment Care Compare group NPD
• Havre Optometric Clinic, PLLP

  • Optometrist
  • Havre, MT
  • NPI 1982749362
  Medicare reassignment Care Compare group NPD
• Summit Eye Care LLC

  • Optometrist
  • Post Falls, ID
  • NPI 1699526830

  MO

  Medicare reassignment NPD
• Chinook Eye Center, LLC

  • Optometrist
  • Chinook, MT
  • NPI 1134062698
  NPD (past) Authorized official
• America's Best Contacts & Eyeglasses

  • Optician
  • Midvale, UT
  • NPI 1205868759
  NPD (past)
• Mountain View Eye Center Professional Corporation

  • Ophthalmology Physician
  • Layton, UT
  • NPI 1841386745
  NPD (past)

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1841783693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5342 W 11310 N",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840033637",
            "telephone_number": "801-400-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W 7200 S",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840473723",
            "telephone_number": "801-561-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "10838291-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pathfinder Counseling PLLC
• Irasema Paul
• Stacie R Pearce, NP
• Julia Ann Peiffer
• Alberto Perez
• Jackson Rockett Perrin
• Personal Performance Medical Corporation (Fit-Well Prosthetic & Orthotic Center)
• Personal Touch Transportation
• Bonnie L. Peters, LCSW
• Carli Kae Petersen

• Optometrist in Midvale, UT
• Providers in Midvale, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.