Individual provider Active NPI

Annel Marie Colon Lebron, O.D., MSMS

  • Optometrist
  • Caguas, PR
National Provider Identifier
1215757398
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
777-479 Issued in PR
Practice address
10 Calle Aquamarina
Caguas, PR 00725-1957
Phone
(787) 258-5394
NPI assigned
Oct 14, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 777-479 PR Primary

Addresses

Primary practice location

10 Calle Aquamarina
Caguas, PR 00725-1957

Mailing address

4 Calle Parentesis
Guaynabo, PR 00969-3724
Phone (787) 361-5579

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241218003279 PR Practitioner - Optometry 7113454984 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
777-479PRMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Toperbee Corporation Optometrist CurrentSince Oct 8, 2024 Accepting new patients
Toperbee Corporation Optometrist CurrentSince Oct 8, 2024 Accepting new patients
Toperbee Corporation Optometrist CurrentSince Oct 8, 2024 Accepting new patients

Locations

200 Ave Fragoso
Ste 157
Carolina, PR 00983
Phone (787) 653-2275

9410 Ave Los Romeros
Ste 35A
San Juan, PR 00926
Phone (787) 653-2275

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1215757398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CALLE PARENTESIS",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693724",
            "telephone_number": "787-361-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CALLE AQUAMARINA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007251957",
            "telephone_number": "787-258-5394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON LEBRON",
        "first_name": "ANNEL",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D., MSMS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "777-479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.