Servicios Optometricos CSP

Primary specialty

OptometristTaxonomy code 152W00000X

License

160 Issued in PR

Legal business name

SERVICIOS OPTOMETRICOS CSP

Practice address

Carr. #2, Edificio B , Multiplaza PR
Suite #6 Bo. Caracol, KM. 143.3
Anasco, PR 00610

Phone

(787) 826-6540

Fax

(787) 826-6520

NPI assigned

Apr 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ernesto Sepulveda, O.D.NPI 1013907518

Title

Owner

Phone

(787) 826-6540

Specialties & licenses 1

Addresses

Other names 1

• Consultorio Optometrico Former legal business name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ernesto Sepulveda, OD

  • Optometrist
  • Anasco, PR
  • NPI 1013907518
  Medicare reassignment NPD Authorized official
• Magaly Figueroa, OD

  • Optometrist
  • Yauco, PR
  • NPI 1699766857
  NPD (past)

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063632305",
    "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": "787-826-6540",
            "fax_number": "787-826-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. #2, EDIFICIO B , MULTIPLAZA PR",
            "address_2": "SUITE #6 BO. CARACOL, KM. 143.3",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "00610",
            "telephone_number": "787-826-6540",
            "fax_number": "787-826-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICIOS OPTOMETRICOS CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEPULVEDA",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-826-6540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PR",
            "license": "160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Consultorio Optometrico",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Tatiana Seguinot Velez, MD
• Ernesto Sepulveda, OD
• Veronica L Serrano Crespo, MA
• Servicios Medicos de Anasco
• Servicios Medicos de Anasco
• Katherine Soto-Moreno, M.D.
• Speech R' US Corp.
• SSCF Inc.
• Cindy Suarez Rivera, DMD
• Super Farmacia Luvamar Inc

• 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.