VERNON PERYEA,OPTOMETRIST LLC (HOPEWELL EYECARE) - NPI NUMBER 1801188776

Summary

Provider Name: VERNON PERYEA,OPTOMETRIST LLC (HOPEWELL EYECARE)

NPI Number: 1801188776

Clasification: Optometrist (152W00000X)

Address:
1123 ROUTE 82
HOPEWELL JUNCTION, NY
ZIP 12533

Phone Number: (845) 221-5310



Detailed Information

VERNON PERYEA,OPTOMETRIST LLC is an optometrist in Hopewell Junction, NY. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. The assigned NPI number for this provider is 1801188776 and is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Hopewell Eyecare.

The provider's business address is:

1123 ROUTE 82
HOPEWELL JUNCTION, NY
ZIP 12533-206
Phone: (845) 221-5310
Fax: (845) 226-1464

The provider's authorized official is Vernon Allen Peryea .
The authorized official title is Owner and has the following contact phone number (845) 221-5310.

The enumeration date for this NPI number is 5/10/2011 and was last updated on 4/27/2012.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 152W00000X Optometrist TUV006321-1 NY Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 U98287 MEDICARE UPIN NY
2 TUV0063211 OTHER NY LICENSE
3 A100066472 MEDICARE PIN NY

NPI Record

No. Field Name Field Value
1 NPI 1801188776
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name VERNON PERYEA,OPTOMETRIST LLC
5 Provider Other Organization Name HOPEWELL EYECARE
6 Provider Other Organization Name Type Code 5
7 Provider First Line Business Practice Location Address 1123 ROUTE 82
8 Provider Business Practice Location Address City Name HOPEWELL JUNCTION
9 Provider Business Practice Location Address State Name NY
10 Provider Business Practice Location Address Postal Code 125336206
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 8452215310
13 Provider Business Practice Location Address Fax Number 8452261464
14 Provider Enumeration Date 5/10/2011
15 Last Update Date 4/27/2012
16 Authorized Official Last Name PERYEA
17 Authorized Official First Name VERNON
18 Authorized Official Middle Name ALLEN
19 Authorized Official Title or Position OWNER
20 Authorized Official Telephone Number 8452215310
21 Healthcare Provider Taxonomy Code 1 152W00000X
22 Provider License Number 1 TUV006321-1
23 Provider License Number State Code 1 NY
24 Healthcare Provider Primary Taxonomy Switch 1 Y
25 Other Provider Identifier 1 U98287
26 Other Provider Identifier Type Code 1 02
27 Other Provider Identifier State 1 NY
28 Other Provider Identifier 2 TUV0063211
29 Other Provider Identifier Type Code 2 01
30 Other Provider Identifier State 2 NY
31 Other Provider Identifier Issuer 2 LICENSE
32 Other Provider Identifier 3 A100066472
33 Other Provider Identifier Type Code 3 08
34 Other Provider Identifier State 3 NY
35 Is Organization Subpart N
36 Authorized Official Name Prefix Text DR.
37 Authorized Official Name Suffix Text JR.
38 Authorized Official Credential Text O.D.
39 Healthcare Provider Taxonomy Group 1 193400000X SINGLE SPECIALTY GROUP

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This page was last updated on: 3/11/2014
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