Active NPI
Centro Optica Vision, Inc
- Optometrist
- San Sebastian, PR
National Provider Identifier
1003191552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- CENTRO OPTICA VISION, INC
- Practice address
- Avenida Emerito Estrada Rivera
Numero 544
San Sebastian, PR 00685 - Phone
- (787) 316-6112
- NPI assigned
- Oct 17, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ezequiel Olavarria
- Title
- Presidente
- Phone
- (787) 316-6112
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
Avenida Emerito Estrada Rivera
Numero 544
San Sebastian, PR 00685
Mailing address
HC 9 Box 90610
San Sebastian, PR 00685-6519
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1318809600000",
"number": "1003191552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 9 BOX 90610",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "006856519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVENIDA EMERITO ESTRADA RIVERA",
"address_2": "NUMERO 544",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "00685",
"telephone_number": "787-316-6112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRO OPTICA VISION, INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-17",
"last_updated": "2011-10-17",
"status": "A",
"authorized_official_last_name": "OLAVARRIA",
"authorized_official_first_name": "EZEQUIEL",
"authorized_official_title_or_position": "PRESIDENTE",
"authorized_official_telephone_number": "787-316-6112",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Sebastian, PR
- Centro de Terapia Fisica Y Medicina Deportiva San Sebastian
- Centro de Vacunacion la Promesa LLC
- Centro Especializado de la Salud del Caribe LLC
- Centro Especializado En Salud SSVP, Inc
- Centro Familiar de Servicios Dentales, CSP
- Centro Vacunacion Pepino Health Group
- Elga Enid Chaves, O.D.
- Cita2Go LLC
- Civ Biomedical Services Corp
- Jessenia Claudio, M.S.W.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.