Perez, Jeffrey J
Perez, Jeffrey J is an sole proprietor health care provider with primary practice located at 12296 Ashley Dr , Gulfport MS 39503-0000. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Perez, Jeffrey J can be contacted via phone (228) 831-0515.Contact Information
Primary practice address
12296 Ashley Dr
Gulfport MS 39503-0000
Phone: (228) 831-0515
Fax: (228) 831-0698
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 485 | Mississippi |
Profile Details
| NPI number | 1467588400 |
|---|---|
| LBN Legal business name | Perez, Jeffrey J |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Jun 5th, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467588400 | NPPES |
| Mississippi | MEDICAID | 00087904 | |
| Mississippi | Other | 251005 | |
| Mississippi | Other | 7019 | |
| Mississippi | Other | 0414350001 | |
| Mississippi | Other | 7020 | |
| Mississippi | Other | 111841 |
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