Individual
DR. GREGORY PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1310 E 79TH AVE, MERRILLVILLE, IN 46410-5768
(219) 641-6400
Mailing address
1310 E 79TH AVE, MERRILLVILLE, IN 46410-5768
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046010681
IL
152W00000X
Optometrist
Primary
18003819A
IN
Other
Enumeration date
06/20/2013
Last updated
03/19/2016
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