Active NPI
Samantha E Correa, OD
- Optometrist
- Aguadilla, PR
National Provider Identifier
1114084696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 426
- Practice address
- Calle Progreso 8
Aguadilla, PR 00603 - Phone
- (787) 882-8102
- Fax
- (787) 882-8102
- NPI assigned
- Jan 3, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 426 | PR | Primary |
Addresses
Primary practice location
Calle Progreso 8
Aguadilla, PR 00603
Mailing address
Calle Progreso 8
Aguadilla, PR 00603
Phone (787) 882-8102
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050719001123 | PR | Practitioner - Optometry | 7911934195 | Practice locations: Aguadilla, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Optics Shop, LLC | Optometrist | Past | Accepting new patients |
| Mi Optica Vision Care | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Optometrist
- Aguadilla, PR
- NPI 1902230717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114084696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE PROGRESO 8",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "00603",
"telephone_number": "787-882-8102",
"fax_number": "787-882-8102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE PROGRESO 8",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "00603",
"telephone_number": "787-882-8102",
"fax_number": "787-882-8102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORREA",
"first_name": "SAMANTHA",
"middle_name": "E",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PR",
"license": "426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aguadilla, PR
- Julio Cesar Cordero
- Oscar Francisco Cordero, D.D.S.
- Drury Corley, PA-C
- Corporacion de Servicios Medicos Primarios Y Prevencion de Hatillo
- Corporacion Fondo Seguro Estado Aguadilla
- Cortes Dermatology & Internal Medicine PC
- Laura Victoria Cortes Ocasio, MD
- Kimberly Cortes Perez
- Ezequiel Cortes Rodriguez, MSN
- Lisandra M Cortes Sanchez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.