Individual
ALYSSA PERLMAN-HENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1900 MASON AVE SUITE 100, DAYTONA BEACH, FL 32117
(386) 274-5525
(803) 434-1581
Mailing address
1900 MASON AVE SUITE 100, DAYTONA BEACH, FL 32117
(386) 274-5525
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2034
SC
152W00000X
Optometrist
5214
MA
152W00000X
Optometrist
Primary
CPC5617
FL
152WC0802X
Corneal and Contact Management Optometrist
5214
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110772100
—
FL
05
—
D20341
—
SC
Enumeration date
06/30/2017
Last updated
09/02/2021
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