Ernesto Sepulveda, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

160 Issued in PR

Practice address

33 Calle Victoria
Anasco, PR 00610-2932

Phone

(787) 826-6540

Fax

(787) 826-6520

NPI assigned

Oct 26, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

International American University at Puerto Rico - School of Optometry, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Servicios Optometricos CSP

  • Optometrist
  • Anasco, PR
  • NPI 1063632305
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284595200000",
    "number": "1013907518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 628",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006810628",
            "telephone_number": "787-834-5809",
            "fax_number": "787-826-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CALLE VICTORIA",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "006102932",
            "telephone_number": "787-826-6540",
            "fax_number": "787-826-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPULVEDA",
        "first_name": "ERNESTO",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2010-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Santiago R Varela
• Santiago R Varela
• Manuel Antonio Santiago Rodriguez II
• Harry Seda Vila, MD
• Tatiana Seguinot Velez, MD
• Veronica L Serrano Crespo, MA
• Servicios Medicos de Anasco
• Servicios Medicos de Anasco
• Servicios Optometricos CSP
• Katherine Soto-Moreno, M.D.

• Optometrist in Anasco, PR
• Providers in Anasco, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.