Active NPI
Rosa M. Ojeda Annexy, O.D.
- Optometrist
- Carolina, PR
National Provider Identifier
1255479333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 620
- Practice address
- Vision World Ave. Fragoso
Plaza Carolina Mall Local #275
Carolina, PR 00983 - Phone
- (787) 276-1969
- Fax
- (787) 276-1969
- NPI assigned
- Feb 2, 2007
- Last updated
- Aug 11, 2021
- 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 | 620 | PR | Primary |
Addresses
Primary practice location
Vision World Ave. Fragoso
Plaza Carolina Mall Local #275
Carolina, PR 00983
Mailing address
PO Box 9068
Carolina, PR 00988-9068
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255479333 | Other | PR | MEDICARE OPTIMO |
| 890960 | Other | PR | MMM |
| 1255479333 | Other | PR | TRIPLE-S |
| 51157 | Other | PR | PMC |
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 |
|---|---|---|---|---|
| I20100319000439 | PR | Practitioner - Optometry | 4284769969 | Practice locations: Carolina, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 620 | PR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628640000000",
"number": "1255479333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9068",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009889068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VISION WORLD AVE. FRAGOSO",
"address_2": "PLAZA CAROLINA MALL LOCAL #275",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00983",
"telephone_number": "787-276-1969",
"fax_number": "787-276-1969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OJEDA ANNEXY",
"first_name": "ROSA",
"middle_name": "M.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2021-08-11",
"certification_date": "2021-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PR",
"license": "620",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE OPTIMO",
"identifier": "1255479333",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMM",
"identifier": "890960",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE-S",
"identifier": "1255479333",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PMC",
"identifier": "51157",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.