Active NPI
Karen Montalvo-Sepulveda, OD
- Optometrist
- Aguadilla, PR
National Provider Identifier
1003119355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 683
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M&M Optical Shop Corp | Optometrist | Current | Accepting new patients |
| J&F Optical Service Incorporated | Optometrist | Current | Accepting new patients |
| Luxottica of America Inc | Current | Accepting new patients | |
| Grupo Optometrico Altamira LLC | Optometrist | Current | 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 | Past | 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.
-
- Optometrist
- Dorado, PR
- NPI 1265978852
-
- Optometrist
- San Juan, PR
- NPI 1760465066
-
- Optometrist
- Guaynabo, PR
- NPI 1518665561
-
- Eyewear Supplier
- Ponce, PR
- NPI 1285180414
-
- Eyewear Supplier
- Ponce, PR
- NPI 1003962853
-
- Optometrist
- Guaynabo, PR
- NPI 1588263305
-
- Optometrist
- Aguadilla, PR
- NPI 1427597293
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.