Organization Active NPI

Vista Care PSC

  • Clinic/Center
  • Bayamon, PR
National Provider Identifier
1215027859
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
542 Issued in PR
Legal business name
VISTA CARE PSC
Practice address
P60 Ave Santa Juanita
Bayamon, PR 00956-4954
Phone
(787) 995-2450
Fax
(787) 787-2424
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lisania Core, O.D.
Title
Optometrist
Phone
(787) 995-2450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 542 PR Primary

Addresses

Primary practice location

P60 Ave Santa Juanita
Bayamon, PR 00956-4954

Mailing address

P60 Ave Santa Juanita
Bayamon, PR 00956-4954
Phone (787) 995-2450

Other identifiers 2

IdentifierTypeStateIssuer
4871890001OtherPRPALMETTO
601012OtherPRMMM

National Provider Directory

National Provider Directory

Locations

P60 Ave Santa Juanita
Bayamon, PR 00956
Phone (787) 779-3333

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215027859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P60 AVE SANTA JUANITA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009564954",
            "telephone_number": "787-995-2450",
            "fax_number": "787-787-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "P60 AVE SANTA JUANITA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009564954",
            "telephone_number": "787-995-2450",
            "fax_number": "787-787-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA CARE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORE",
        "authorized_official_first_name": "LISANIA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "787-995-2450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": "542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "4871890001",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "601012",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.