Individual
DR. JEFFREY J PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
12296 ASHLEY DR, GULFPORT, MS 39503-0000
(228) 831-0515
(228) 831-0698
Mailing address
12296 ASHLEY DR, GULFPORT, MS 39503
(228) 831-0515
(228) 831-0698
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
485
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00087904
—
MS
01
—
0414350001
PALMETTO GOVERNMENT BENEFITS ADMINISTRATOR
MS
01
—
111841
EYEMED
MS
01
—
251005
NVA
MS
01
—
7019
DAVISVISION
MS
01
—
7020
DAVISVISION
MS
Enumeration date
02/26/2007
Last updated
06/05/2009
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