Ortiz Optometric Care

Primary specialty

OptometristTaxonomy code 152W00000X

License

684/0255 Issued in PR

Legal business name

ORTIZ OPTOMETRIC CARE

Practice address

8169 Calle Concordia
Condominio San Vicente Oficina 204
Ponce, PR 00731

Phone

(787) 412-7822

NPI assigned

Feb 10, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Ortiz Melendez, ODNPI 1962786038

Title

President / Optometrist

Phone

(787) 412-7822

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 1

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

• Jennifer Ortiz Melendez, O.D.

  • Optometrist
  • Ponce, PR
  • NPI 1962786038
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547769600000",
    "number": "1285092833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 303",
            "city": "MERCEDITA",
            "state": "PR",
            "postal_code": "007150303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8169 CALLE CONCORDIA",
            "address_2": "CONDOMINIO SAN VICENTE OFICINA 204",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00731",
            "telephone_number": "787-412-7822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTIZ OPTOMETRIC CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-10",
        "last_updated": "2019-01-18",
        "status": "A",
        "authorized_official_last_name": "ORTIZ MELENDEZ",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT / OPTOMETRIST",
        "authorized_official_telephone_number": "787-412-7822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PR",
            "license": "684/0255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "GQ573A",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1962786038",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Isabel Ortiz Mattei
• Ines Ortiz Medina, TRABAJADOR SOCIAL
• Jennifer Ortiz Melendez, O.D.
• Manuel Alberto Ortiz Nevarez, M.D.
• Andres J Ortiz Nieves Sr., MD
• Lorimar Ortiz Ortiz, M.D.
• Joan Ortiz Padilla, MD
• Fabiola Sofia Ortiz Pagan
• Ketty Lorraine Ortiz Pagan, PHARMD
• Rosario Ortiz Pedrogo, RN, BSN

• Optometrist in Ponce, PR
• Providers in Ponce, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.