Organization Active NPI

Vision 2000 Express Luquillo Corp

Doing business as Ctr vision 2000

  • Optometrist
  • Bayamon, PR
National Provider Identifier
1144543836
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
195 Issued in PR
Legal business name
VISION 2000 EXPRESS LUQUILLO CORP
Doing business as
Ctr vision 2000
Practice address
50 Isabel II Street
Edif. Joaquin Montesino
Bayamon, PR 00961
Phone
(787) 786-2000
Fax
(787) 798-1895
NPI assigned
Mar 9, 2010
Last updated
Mar 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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

Authorized official

Name
Dr. Gian Jose Murati, O.D.NPI 1659417723
Title
Administrator
Phone
(787) 786-2000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 195 PR Primary

Addresses

Primary practice location

50 Isabel II Street
Edif. Joaquin Montesino
Bayamon, PR 00961

Mailing address

50 Isabel II Street
Edif. Joaquin Montesino
Bayamon, PR 00961
Phone (787) 786-2000

Other identifiers 1

IdentifierTypeStateIssuer
0058128OtherPRCMS

Other names 1

  • Ctr vision 2000 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130829000254 PR Part B Supplier - Clinic/Group Practice 4880837442 Receives reassigned benefits from 2 practitioners
Practice locations: Luquillo, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1144543836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 ISABEL II STREET",
            "address_2": "EDIF. JOAQUIN MONTESINO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-786-2000",
            "fax_number": "787-798-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ISABEL II STREET",
            "address_2": "EDIF. JOAQUIN MONTESINO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-786-2000",
            "fax_number": "787-798-1895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION 2000 EXPRESS LUQUILLO CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "MURATI",
        "authorized_official_first_name": "GIAN",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-786-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PR",
            "license": "195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS",
            "identifier": "0058128",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ctr vision 2000",
            "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 Mar 9, 2010; 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.