Perez, Joseph Nelson

Perez, Joseph Nelson is an individual health care provider with primary practice located at 3929 Tinsley Dr Ste 101, High Point NC 27265-1531. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Perez, Joseph Nelson can be contacted via phone (336) 841-2028.

Contact Information

Primary practice address
3929 Tinsley Dr Ste 101 High Point NC 27265-1531
Fax: (336) 841-2029
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X NC 1689 North Carolina

Profile Details

NPI number 1699771642
LBN Legal business name Perez, Joseph Nelson
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Nov 15th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699771642 NPPES
North Carolina MEDICAID 790911A

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