Active NPI
Yolanda Nieves, O.D.
- Optometrist
- Mayaguez, PR
National Provider Identifier
1053580142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 007242
- Practice address
- Office Park 1 Suite 206
Carr. #2 KM 156.5
Mayaguez, PR 00680-0068 - Phone
- (787) 709-4635
- NPI assigned
- Feb 22, 2008
- Last updated
- Feb 16, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 655 | PR | |
| Optometrist | 152W00000X | 007242 | NY | Primary |
Addresses
Primary practice location
Office Park 1 Suite 206
Carr. #2 KM 156.5
Mayaguez, PR 00680-0068
Mailing address
HC 2 Box 23330
San Sebastian, PR 00685-9280
Phone (787) 709-4635
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corozal Vision Care, LLC | Optometrist | Current | Accepting new patients |
| Corozal Vision Care, LLC | Optometrist | Current | Accepting new patients |
| Eye Zone C.S.P | Past | Accepting new patients | |
| Visual World | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Corozal Vision Center
- Ophthalmologic Surgery Clinic/Center
- Corozal, PR
- NPI 1679122931
Optometrist
-
- Optician
- San Sebastian, PR
- NPI 1063784072
-
- Exclusive Provider Organization
- Moca, PR
- NPI 1396999835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676505600000",
"number": "1053580142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 2 BOX 23330",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "006859280",
"telephone_number": "787-709-4635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "OFFICE PARK 1 SUITE 206",
"address_2": "CARR. #2 KM 156.5",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006800068",
"telephone_number": "787-709-4635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEVES",
"first_name": "YOLANDA",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-22",
"last_updated": "2023-02-16",
"certification_date": "2023-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PR",
"license": "655",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "007242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mayaguez, PR
- Diana Krystina Nieves Castro, MD
- Edrick Nieves Gonzalez
- Karen Nieves Gonzalez, MD
- Jose A Nieves-Torres Sr., MD
- Priscila Elizabeth Nieves, MSW
- Nozomi Incorporado (Centro Nozomi)
- Genesis Maria Nunez
- Nutricare Enteral Alimentation, Inc. (Nutri Care & Home Medical Supply)
- O & M Enterprises Inc (Laboratorio Clinico Ramos)
- Jorge Enrique Oben Martinez, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.