Edgar Samuel Perez, O. D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

46007814 Issued in IL

Practice address

1477 E Oakton St
Des Plaines, IL 60018-2119

Phone

(847) 824-2200

Fax

(847) 299-1054

NPI assigned

Jan 28, 2007

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 IL

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 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Edgar S Perez OD PC

  • Optometrist
  • Des Plaines, IL
  • NPI 1104034933
  Medicare reassignment Authorized official
• United Eye Care Providers, LLC

  • Optometrist
  • Lemont, IL
  • NPI 1013070093
  NPD (past)

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

{
    "created_epoch": "1169942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891841052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1477 E OAKTON ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600182119",
            "telephone_number": "847-824-2200",
            "fax_number": "847-299-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1477 E OAKTON ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600182119",
            "telephone_number": "847-824-2200",
            "fax_number": "847-299-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "EDGAR",
        "middle_name": "SAMUEL",
        "credential": "O. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "46007814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pearl of Des Plaines LLC
• Maureen B Pearson, PHARMD
• Laurie Penalber, DT
• Danielle Penner, RBT
• Paulo Alberto Perez Padilla
• Katrina Shanise Perez
• Perfect Storm Chiropractic, LLC
• Marina Peri, MA, CCC-SLP/L
• Nicole Maria Peszko
• Peter E Johnson MD SC

• Optometrist in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Optometrist in Illinois

• 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.
• 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.