Organization Active NPI

Vision One Corporation

  • Optometrist
  • Aguadilla, PR
National Provider Identifier
1174184204
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISION ONE CORPORATION
Doing business as
Optical Supercenters
Practice address
88 Calle Cordoba
Aguadilla, PR 00603-5845
Phone
(787) 882-8367
Fax
(787) 882-8365
NPI assigned
Jun 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Authorized official

Name
Mrs. Erika Serrano
Title
President
Phone
(787) 830-9000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

88 Calle Cordoba
Aguadilla, PR 00603-5845

Mailing address

3241 Ave Militar
Isabela, PR 00662-4091
Phone (787) 830-9000

Other practice location 1

1602 Ave Miramar Ste 2
Arecibo, PR 00612-2882
Phone (787) 879-4262

Other names 1

  • Optical Supercenters Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL AGUADILLA Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230428001895 PR Part B Supplier - Clinic/Group Practice 1759746670 Receives reassigned benefits from 3 practitioners
Practice locations: Aguadilla, PR

National Provider Directory

National Provider Directory

Locations

1602 Ave Miramar
Arecibo, PR 00612
Phone (787) 879-4262

1602 Ave Miramar
Ste 2
Arecibo, PR 00612
Phone (787) 680-1211

3241 Ave Militar
Isabela, PR 00662
Phone (787) 827-8101

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656979200000",
    "number": "1174184204",
    "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",
            "fax_number": "787-830-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 CALLE CORDOBA",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035845",
            "telephone_number": "787-882-8367",
            "fax_number": "787-882-8365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1602 Ave Miramar Ste 2",
            "address_purpose": "LOCATION",
            "city": "Arecibo",
            "state": "PR",
            "postal_code": "006122882",
            "country_code": "US",
            "telephone_number": "787-879-4262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VISION ONE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-28",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "SERRANO",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-830-9000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "AGUADILLA",
            "affiliation": "N",
            "endpointDescription": "office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "88 Calle Cordoba",
            "city": "Aguadilla",
            "state": "PR",
            "country_code": "US",
            "postal_code": "006035845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Optical Supercenters",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aguadilla, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.