Raymond Rodriguez III, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4377 Issued in FL

Practice address

766 Celebration Ave Unit 2203
Celebration, FL 34747-5480

Phone

(787) 462-4141

NPI assigned

Sep 26, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lens Vision LLC

  • Eyewear Supplier
  • San Juan, PR
  • NPI 1023435294
  NPD Authorized official
• Raymond Rodriguez Lens Vision Outlet

  • Optometrist
  • San Juan, PR
  • NPI 1497893572
  NPD (past) Authorized official
• Puerto Rico Eye Specialists LLC

  • Ophthalmology Physician
  • San Juan, PR
  • NPI 1073338760
  NPD

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1093701997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GRAND PASEO BLVD STE 116",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266535",
            "telephone_number": "787-755-1414",
            "fax_number": "787-761-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 CELEBRATION AVE UNIT 2203",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475480",
            "telephone_number": "787-462-4141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Galeria Paseos Mall",
            "address_2": "Suite 116",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "00926",
            "country_code": "US",
            "telephone_number": "787-755-1414",
            "fax_number": "787-761-4141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "RAYMOND",
        "name_suffix": "III",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4377",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "228",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Griselle Esther Rivera, APNC
• Kaylee Rivera, APRN
• Craig Roberts, PTA
• Joseph E. Robison, M.D.
• Melany Rodriguez Traverzo
• Veronica L Rodriguez, DDS
• Travis Phillip Rogers, M.D.
• Haydee Rohaidy, MD
• Nanette L Rollene, MD
• Xavier Roman-Hernandez, MD

• Optometrist in Celebration, FL
• Providers in Celebration, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.

Verify at the official NPI Registry.