Organization Active NPI

Centro Optica Vision, Inc

  • Optometrist
  • San Sebastian, PR
National Provider Identifier
1003191552
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
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

Updated by the provider on Oct 17, 2011

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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

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.

Verify at the official NPI Registry.