Organization Active NPI

Perozek Professional Corporation

  • Ophthalmology Physician
  • Las Vegas, NV
National Provider Identifier
1881748283
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
11220 Issued in NV
Legal business name
PEROZEK PROFESSIONAL CORPORATION
Practice address
653 N Town Center Dr
Suite 212
Las Vegas, NV 89144-0514
Phone
(702) 982-1360
Fax
(702) 202-3489
NPI assigned
Jan 22, 2007
Last updated
Jan 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Authorized official

Name
Tessa Cerminara
Title
Office Manager
Phone
(702) 982-1360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 11220 NV Primary

Addresses

Primary practice location

653 N Town Center Dr
Suite 212
Las Vegas, NV 89144-0514

Mailing address

653 N Town Center Dr
Suite 212
Las Vegas, NV 89144-0514
Phone (702) 982-1360

National Provider Directory

National Provider Directory

Locations

653 N Town Center Dr
Ste 2
Las Vegas, NV 89144
Phone (702) 782-1360

653 N Town Center Dr
Ste 212
Las Vegas, NV 89144
Phone (702) 982-1360

Interoperability endpoints

  • Direct secure messaging: ehanna@seerightnow.intellechartdirect.net
  • Direct secure messaging: tperozek@seerightnow.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1881748283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 N TOWN CENTER DR",
            "address_2": "SUITE 212",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440514",
            "telephone_number": "702-982-1360",
            "fax_number": "702-202-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 N TOWN CENTER DR",
            "address_2": "SUITE 212",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440514",
            "telephone_number": "702-982-1360",
            "fax_number": "702-202-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEROZEK PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "CERMINARA",
        "authorized_official_first_name": "TESSA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "702-982-1360"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "11220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.