Optical Supercenter Arecibo Corp

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

OPTICAL SUPERCENTER ARECIBO CORP

Practice address

3241 Ave Militar
Isabela, PR 00662-4091

Phone

(787) 830-9000

NPI assigned

Aug 22, 2022

Last updated

Aug 22, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Erika Serrano Melendez

Title

President

Phone

(787) 827-8101

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 3

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.

• Laura Marie Del Valle Perez, OD

  • Optometrist
  • Isabela, PR
  • NPI 1730899543
  Medicare reassignment NPD
• Melissa Margarita Martinez Rivera, OD

  • Optometrist
  • Isabela, PR
  • NPI 1649994468
  Medicare reassignment NPD
• Paola Enid Rivera

  • Optometrist
  • Mayaguez, PR
  • NPI 1043914500
  Medicare reassignment NPD

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1164140430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3241 AVE MILITAR",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006624091",
            "telephone_number": "787-830-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3241 AVE MILITAR",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006624091",
            "telephone_number": "787-830-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Calle Zafiro",
            "address_2": "Urb Vista Verde",
            "address_purpose": "LOCATION",
            "city": "Mayaguez",
            "state": "PR",
            "postal_code": "00680",
            "country_code": "US",
            "telephone_number": "787-827-8101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPTICAL SUPERCENTER ARECIBO CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "SERRANO MELENDEZ",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-827-8101",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oidp Therapy Group, LLC.
• Oniric Psychology Studio
• Optica Clear Vision LLC
• Optica Clearvision Dba Cynthia Nazario (Cynthia Nazario O.D)
• Optical Express
• Yamiliz Ortega-Rosa, OCCUPATIONAL THERAPI
• Nathasha L. Ortega
• Mariselis Ortiz Maldonado, M.S.
• Daianna L Ortiz, PSY.D.
• Sally L Otero Class, MD

• Eyewear Supplier in Isabela, PR
• Providers in Isabela, PR by specialty
• Eyewear Supplier in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.