Provider Demographics
NPI:1679989248
Name:PERRY, SIERRA M (OD)
Entity type:Individual
Prefix:DR
First Name:SIERRA
Middle Name:M
Last Name:PERRY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:SIERRA
Other - Middle Name:
Other - Last Name:BENNETT-RILEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:3281 BEL AIR MALL
Mailing Address - Street 2:SUITE G18A
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36606
Mailing Address - Country:US
Mailing Address - Phone:514-682-4772
Mailing Address - Fax:251-468-2508
Practice Address - Street 1:3281 BEL AIR MALL
Practice Address - Street 2:SUITE G18A
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36606-3207
Practice Address - Country:US
Practice Address - Phone:251-468-2477
Practice Address - Fax:251-468-2508
Is Sole Proprietor?:No
Enumeration Date:2014-07-03
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS-D27152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist