Vanessa Albo

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Practice address

Avenida Principal Munoz Rivera
Local # 150
San Lorenzo, PR 00754-0000

Phone

(787) 639-6599

NPI assigned

Mar 12, 2024

Last updated

May 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Indigo Optical Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Indigo Optical, LLC

  • Eyewear Supplier
  • San Lorenzo, PR
  • NPI 1245079508
  NPD Authorized official

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1083472146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 70 BOX 30461",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "007549705",
            "telephone_number": "787-639-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENIDA PRINCIPAL MUNOZ RIVERA",
            "address_2": "LOCAL # 150",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "007540000",
            "telephone_number": "787-639-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBO",
        "first_name": "VANESSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "PR",
            "license": null,
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INDIGO",
            "last_name": "OPTICAL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• A. Cordero Badillo ,Inc
• Miguel Angel Adorno Diaz, PHARMACY TECHNICIAN
• Adan Alejandro, M.D.
• Gladys M Alicea, PHARMACIST TECH
• Elizabeth Alvarado
• Miguel A Alvarado, DMD
• Magaly Amado

• Eyewear Supplier in San Lorenzo, PR
• Providers in San Lorenzo, PR by specialty
• Eyewear Supplier in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.

Verify at the official NPI Registry.