Active NPI
GC OD LLC
- Optometrist
- Humacao, PR
National Provider Identifier
1023877958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- GC OD LLC
- Practice address
- Carr 3 #350
Plaza Palma Real
Humacao, PR 00791 - Phone
- (787) 850-5222
- NPI assigned
- Mar 14, 2024
- Last updated
- Mar 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
- Gerardo Correa, OD
- Title
- Optometrist
- Phone
- (787) 427-4746
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NU | Primary |
Addresses
Primary practice location
Carr 3 #350
Plaza Palma Real
Humacao, PR 00791
Mailing address
G 14 Calle
Torremolinos
Guaynabo, PR 00969
National Provider Directory
National Provider DirectoryLocations
350 Carr 3
Humacao, PR 00791
Phone (787) 850-0330
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Humacao, PR
- NPI 1306997309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710374400000",
"number": "1023877958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "G 14 CALLE",
"address_2": "TORREMOLINOS",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 3 #350",
"address_2": "PLAZA PALMA REAL",
"city": "HUMACAO",
"state": "PR",
"postal_code": "00791",
"telephone_number": "787-850-5222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GC OD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-14",
"last_updated": "2024-03-14",
"certification_date": "2024-03-12",
"status": "A",
"authorized_official_last_name": "CORREA",
"authorized_official_first_name": "GERARDO",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "787-427-4746",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Humacao, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.