Western Optical Outlet, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

497 Issued in PR

Legal business name

WESTERN OPTICAL OUTLET, INC

Practice address

164 Carr 2
Plaza Monserrate 1 Local 1
Hormigueros, PR 00660-1400

Phone

(787) 849-0303

Fax

(787) 849-0302

NPI assigned

Jul 21, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Liza Colon, ODNPI 1487653366

Title

President

Phone

(787) 849-0303

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

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

• Liza Colon, OD

  • Optometrist
  • Cabo Rojo, PR
  • NPI 1487653366
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1083613988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30",
            "city": "HORMIGUEROS",
            "state": "PR",
            "postal_code": "006600030",
            "telephone_number": "787-849-0303",
            "fax_number": "787-849-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 CARR 2",
            "address_2": "PLAZA MONSERRATE 1 LOCAL 1",
            "city": "HORMIGUEROS",
            "state": "PR",
            "postal_code": "006601400",
            "telephone_number": "787-849-0303",
            "fax_number": "787-849-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN OPTICAL OUTLET, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "COLON",
        "authorized_official_first_name": "LIZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-849-0303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PR",
            "license": "497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keyla Velez Velez
• Odalis Velez
• Efrain Ricardo Vidal Cabanas, M.D.
• Walgreen Co (Walgreens #00314)
• West Audiology Center, LLC
• Hector Luis Yordan, M.D.

• Optometrist in Hormigueros, PR
• Providers in Hormigueros, 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 1, 2012; 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.