Provider Demographics
NPI:1689891194
Name:PEREZ AND SEYER O.D., P.C.
Entity Type:Organization
Organization Name:PEREZ AND SEYER O.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SEYER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:610-433-5128
Mailing Address - Street 1:1040 W HAMILTON ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18101-1069
Mailing Address - Country:US
Mailing Address - Phone:610-433-5128
Mailing Address - Fax:610-433-9484
Practice Address - Street 1:1040 W HAMILTON ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18101-1069
Practice Address - Country:US
Practice Address - Phone:610-433-5128
Practice Address - Fax:610-433-9484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2009-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001308152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAT30048Medicare UPIN
PA0509990001Medicare NSC