MEDICARE: PERLA REYES 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
1	152W00000X	Optometrist	011205	NY

General Provider Information

NPI Number	:	1619768223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PERLA REYES OD

Provider Business Mailing Address
First Line	:	33 W 42ND ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10036-8005
Country	:	US
Telephone Number	:	212-938-4000
Fax Number	:

Provider Business Practice Location Address
First Line	:	33 W 42ND ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10036-8005
Country	:	US
Telephone Number	:	212-938-4000
Fax Number	:	212-938-5858

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

Provider Enumeration Date	:	05/14/2025
Last Update Date	:	06/02/2026

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Directions to “ PERLA REYES OD” Practice Location

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