Active NPI
Miravision
- Optometrist
- Coamo, PR
National Provider Identifier
1003665951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- MIRAVISION
- Practice address
- #49 Calle Bladorioty
Coamo, PR 00769 - Phone
- (787) 824-1934
- NPI assigned
- May 14, 2024
- 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
- Nahir E. Soto, OD
- Title
- President/Owner
- Phone
- (787) 406-3562
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary | ||
| Eyewear Supplier | 332H00000X |
Addresses
Primary practice location
#49 Calle Bladorioty
Coamo, PR 00769
Mailing address
109 Calle Regencia
Coamo, PR 00769-9814
Phone (787) 824-1934
National Provider Directory
National Provider Directory- Tax ID family
- Miravision
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Salinas, PR
- NPI 1760231609
Locations
49 Calle Baldorioty
Coamo, PR 00769
Phone (787) 803-2662
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Salinas, PR
- NPI 1770906448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715644800000",
"number": "1003665951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 CALLE REGENCIA",
"city": "COAMO",
"state": "PR",
"postal_code": "007699814",
"telephone_number": "787-824-1934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "#49 CALLE BLADORIOTY",
"city": "COAMO",
"state": "PR",
"postal_code": "00769",
"telephone_number": "787-824-1934"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIRAVISION",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-14",
"last_updated": "2024-05-14",
"status": "A",
"authorized_official_last_name": "SOTO",
"authorized_official_first_name": "NAHIR",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "787-406-3562",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coamo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.