MEDICARE: ROBERTO PEREZ JR.

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
1	156FX1800X	Optician	166787	TX

General Provider Information

NPI Number	:	1255277034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERTO PEREZ JR.

Provider Business Mailing Address
First Line	:	118 W HEARD ST STE B
Second Line	:
City	:	CLEBURNE
State	:	TX
Zip	:	76033-3800
Country	:	US
Telephone Number	:	682-232-3598
Fax Number	:

Provider Business Practice Location Address
First Line	:	118 W HEARD ST STE B
Second Line	:
City	:	CLEBURNE
State	:	TX
Zip	:	76033-3800
Country	:	US
Telephone Number	:	682-232-3598
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2026
Last Update Date	:	04/25/2026

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Directions to “ ROBERTO PEREZ JR. ” Practice Location

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