Perry, Mark E

Perry, Mark E is an individual health care provider with primary practice located at 400 N Bumby Ave , Orlando FL 32803-6028. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Perry, Mark E can be contacted via phone (407) 893-6222.

Contact Information

Primary practice address
400 N Bumby Ave Orlando FL 32803-6028
Phone: (407) 893-6222
Fax: (407) 896-4200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2097 Florida

Profile Details

NPI number 1942267414
LBN Legal business name Perry, Mark E
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Feb 4th, 2014 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942267414 NPPES
Florida Other 19886 BLUE CROSS BLUE SHIELD
Florida MEDICAID 078218100 BLUE CROSS BLUE SHIELD

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