Buena Vista Optical,Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

185 Issued in PR

Legal business name

BUENA VISTA OPTICAL,INC

Practice address

2135 Carr 2 # in
Suite 65
Bayamon, PR 00959-5219

Phone

(787) 778-8308

Fax

(787) 778-8309

NPI assigned

Jun 14, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Awilda Lopez, OD

Title

President

Phone

(787) 778-8308

Specialties & licenses 1

Addresses

Other names 1

• pearle vision drive in plaza Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 2

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

• Awilda Lopez Rivera, O.D.

  • Optometrist
  • Bayamon, PR
  • NPI 1952367344
  Medicare reassignment NPD
• Celeste W Ramos, OD

  • Optometrist
  • Bayamon, PR
  • NPI 1245714674
  Medicare reassignment

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

{
    "created_epoch": "1213401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1154581924",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "CARR #2 DRIVE IN PLAZA 2135",
            "address_2": "SUITE 65",
            "city": "BAYAMON",
            "state": "PUERTO RICO",
            "postal_code": "00959",
            "telephone_number": "787-778-8308",
            "fax_number": "787-778-8309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 CARR 2 # IN",
            "address_2": "SUITE 65",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009595219",
            "telephone_number": "787-778-8308",
            "fax_number": "787-778-8309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENA VISTA OPTICAL,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-14",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "AWILDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-778-8308",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PR",
            "license": "185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "pearle vision drive in plaza",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bright Brains Corp.
• Ruben Brignoni Serrano
• Maria Milagros Brignoni
• Carmen Brito Medina, M.D.
• Rafael A Brito, M.D.
• Diego Bernardo Buitrago
• Rafael Antonio Burgos Calderon, M.D
• Monica I Burgos Claudio, MD
• Ileana K Burgos Gomez, PSYD.
• Burgos Hospital Supply Inc

• Optometrist in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.