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General NPI Number Information
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NPI Number | 1205264991
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Entity Type | Organization
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Legal Business Name | ERIC PEREZ, O.D., P.A.
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Dates
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Enumeration Date | 10/16/2013
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 4200 CONROY RD
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City | ORLANDO
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State | FL
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Zip | 32839-2400
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Country | US
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Telephone | 407-903-1018
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Fax | 407-903-1063
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Provider Business Mailing Address
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Address Line | PO BOX 770549
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City | WINTER GARDEN
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State | FL
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Zip | 34777-0549
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Country | US
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Telephone | 407-522-2656
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ERIC PEREZ
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Credential | OD
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Telephone | 545-594-3849
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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