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NPI Code Detail

MEDICARE: DR. VERNON ALLEN PERYEA OD

MEDICARE:  DR. VERNON ALLEN PERYEA  OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristTUV0063211NY

General Provider Information

NPI Number : 1376505396
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VERNON ALLEN PERYEA OD
Provider Business Mailing Address
First Line : 88 PUTNAM RD
Second Line :
City : CORTLANDT MANOR
State : NY
Zip : 10567-7446
Country : US
Telephone Number : 845-661-7498
Fax Number : 914-737-0437
Provider Business Practice Location Address
First Line : 1865 MAIN ST
Second Line : OIC OPTICAL
City : PEEKSKILL
State : NY
Zip : 10566-2505
Country : US
Telephone Number : 914-737-0437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2006
Last Update Date : 11/01/2010

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Directions to “ DR. VERNON ALLEN PERYEA OD” Practice Location

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