Individual provider Active NPI

Karen Montalvo-Sepulveda, OD

  • Optometrist
  • Aguadilla, PR
National Provider Identifier
1003119355
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
683 Issued in PR
Practice address
Aguadilla Mall
# 39
Aguadilla, PR 00603
Phone
(787) 882-0078
NPI assigned
Dec 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 683 PR Primary

Addresses

Primary practice location

Aguadilla Mall
# 39
Aguadilla, PR 00603

Mailing address

A6 Calle Cipres
Urb. Flamboyan
Mayaguez, PR 00680-1860
Phone (787) 617-6204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170620001218 PR Practitioner - Optometry 4082982855 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
M&M Optical Shop Corp Optometrist CurrentSince May 5, 2026 Accepting new patients
J&F Optical Service Incorporated Optometrist CurrentSince May 5, 2026 Accepting new patients
Luxottica of America Inc CurrentSince Dec 9, 2018 Accepting new patients
Grupo Optometrico Altamira LLC Optometrist CurrentSince May 5, 2026 Accepting new patients
Luxottica of America Inc. Current Accepting new patients
Toperbee Corporation Optometrist Past Accepting new patients
Toperbee Corporation Optometrist Past Accepting new patients
Optik Optometry Group Optometrist PastSince May 5, 2026 Accepting new patients

Locations

4000 Luxottica Pl
Mason, OH 45040
Phone (513) 765-2155

2050 Ponce Byp
Ponce, PR 00716
Phone (787) 259-9497

9410 Ave Los Romeros
Ste 35A
San Juan, PR 00926
Phone (787) 653-2275

1900 Ave Jesus T Pinero
San Juan, PR 00921
Phone (787) 782-2175

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1003119355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "A6 CALLE CIPRES",
            "address_2": "URB. FLAMBOYAN",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006801860",
            "telephone_number": "787-617-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AGUADILLA MALL",
            "address_2": "# 39",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-882-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTALVO-SEPULVEDA",
        "first_name": "KAREN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-08",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.