Active NPI
Zoet Blondet Castellano, O.D.
- Optometrist
- Toa Baja, PR
National Provider Identifier
1215192919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 647
- Practice address
- 1593 Calle Torino
Urb. Fuentebella
Toa Baja, PR 00949 - Phone
- (787) 245-0079
- NPI assigned
- Jul 22, 2008
- Last updated
- Nov 2, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 647 | PR | Primary |
Addresses
Primary practice location
1593 Calle Torino
Urb. Fuentebella
Toa Baja, PR 00949
Mailing address
1593 Calle Torino
Urb. Fuentebella
Toa Alta, PR 00953
Phone (787) 245-0079
Other names 1
- Zoet Blondet
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100630000281 | PR | Practitioner - Optometry | 1557492816 | Practice locations: Bayamon, PR; Toa Baja, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 647 | PR | MD | Chiropractor |
| 000647 | PR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257120000000",
"number": "1215192919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1593 CALLE TORINO",
"address_2": "URB. FUENTEBELLA",
"city": "TOA ALTA",
"state": "PR",
"postal_code": "00953",
"telephone_number": "787-245-0079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1593 CALLE TORINO",
"address_2": "URB. FUENTEBELLA",
"city": "TOA BAJA",
"state": "PR",
"postal_code": "00949",
"telephone_number": "787-245-0079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLONDET CASTELLANO",
"first_name": "ZOET",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-22",
"last_updated": "2009-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PR",
"license": "647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ZOET",
"last_name": "BLONDET",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Toa Baja, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.