Organization Active NPI

Nogal Visual Clinic

  • Eyewear Supplier
  • Bayamon, PR
National Provider Identifier
1083825475
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
NOGAL VISUAL CLINIC
Doing business as
Nogal Visual Clinic
Practice address
Ave Carlos Andaluz
4X-2 Lomas Verdes
Bayamon, PR 00956
Phone
(787) 798-1315
Fax
(787) 780-5538
NPI assigned
May 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mary Merced, O.D.
Title
Optometrist
Phone
(787) 798-1315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

Ave Carlos Andaluz
4X-2 Lomas Verdes
Bayamon, PR 00956

Mailing address

Urb Lomas Verdes Ave Carlos Andaluz
4X-2
Bayamon, PR 00956
Phone (787) 798-1315

Other names 1

  • NOGAL VISUAL CLINIC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083825475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB LOMAS VERDES AVE CARLOS ANDALUZ",
            "address_2": "4X-2",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-798-1315",
            "fax_number": "787-780-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE CARLOS ANDALUZ",
            "address_2": "4X-2 LOMAS VERDES",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-798-1315",
            "fax_number": "787-780-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOGAL VISUAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MERCED",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "787-798-1315",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOGAL VISUAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bayamon, PR

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.