Provider Demographics
NPI:1457847337
Name:PERRY, LINDSEY FAE (OD)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:FAE
Last Name:PERRY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2887 S MARKET ST
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85295-1303
Mailing Address - Country:US
Mailing Address - Phone:480-366-3963
Mailing Address - Fax:480-366-3964
Practice Address - Street 1:2887 S MARKET ST
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295-1303
Practice Address - Country:US
Practice Address - Phone:480-366-3963
Practice Address - Fax:480-366-3964
Is Sole Proprietor?:No
Enumeration Date:2018-07-03
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOPT-002272152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist