Organization
PEREZ VISION CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY PEREZ (OFFICE MANAGER)
(228) 831-0515
Entity
Organization
Contact information
Practice address
15312 DEDEAUX RD, GULFPORT, MS 39503-3123
(228) 831-0515
(228) 832-1249
Mailing address
15312 DEDEAUX RD, GULFPORT, MS 39503-3123
(228) 831-0515
(228) 832-1249
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
485
MS
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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