Individual
DR. JUDY ANN PEREA-MAES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2298
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30-NM00003
AVESIS VISION PLAN
NM
01
—
NM0298
EYEMED VISION PLAN
NM
Enumeration date
03/12/2007
Last updated
07/08/2007
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