Perlman-Hensen, Alyssa

Perlman-Hensen, Alyssa is an individual health care provider with primary practice located at 1900 Mason Ave Suite 100 , Daytona Beach FL 32117. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Perlman-Hensen, Alyssa can be contacted via phone (386) 274-5525.

Contact Information

Primary practice address
1900 Mason Ave Suite 100 Daytona Beach FL 32117
Fax: (803) 434-1581
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2034 South Carolina
Eye and Vision Services Providers / Optometrist 152W00000X 5214 Massachusetts
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 5214 Massachusetts
Eye and Vision Services Providers / Optometrist 152W00000X CPC5617 Florida

Profile Details

NPI number 1154842961
LBN Legal business name Perlman-Hensen, Alyssa
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2017
Last updated Sep 2nd, 2021 - about 3 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 1154842961 NPPES
Florida MEDICAID 110772100
Florida MEDICAID D20341

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