Active NPI
Jacqueline Henriquez, OD
- Optometrist
- Dorado, PR
National Provider Identifier
1063653756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 658
- Practice address
- T17 Calle Azafran
Urb. Quintas de Dorado
Dorado, PR 00646-4740 - Phone
- (787) 549-8025
- NPI assigned
- Mar 10, 2009
- Last updated
- Mar 10, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 658 | PR | Primary |
Addresses
Primary practice location
T17 Calle Azafran
Urb. Quintas de Dorado
Dorado, PR 00646-4740
Mailing address
T17 Calle Azafran
Urb. Quintas de Dorado
Dorado, PR 00646-4740
Phone (787) 549-8025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica of America Inc. | Current | Accepting new patients | |
| David S. Doka M.D. P.a. | Optometrist | Current | Accepting new patients |
| David S. Doka M.D. P.a. | Current | Accepting new patients | |
| Luxottica of America Inc. | Current | Accepting new patients | |
| Luxottica of America Inc | Past | Accepting new patients |
Locations
4000 Luxottica Pl
Mason, OH 45040
Phone (513) 765-2155
1240 Lomaland Dr
El Paso, TX 79907
Phone (915) 591-4441
Organizations & group practices 6
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.
-
- Optometrist
- Westworth Village, TX
- NPI 1750627188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236643200000",
"number": "1063653756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "T17 CALLE AZAFRAN",
"address_2": "URB. QUINTAS DE DORADO",
"city": "DORADO",
"state": "PR",
"postal_code": "006464740",
"telephone_number": "787-549-8025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "T17 CALLE AZAFRAN",
"address_2": "URB. QUINTAS DE DORADO",
"city": "DORADO",
"state": "PR",
"postal_code": "006464740",
"telephone_number": "787-549-8025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRIQUEZ",
"first_name": "JACQUELINE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-10",
"last_updated": "2009-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PR",
"license": "658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dorado, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; 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.