Organization Active NPI

Clinica Visual Y Optica Dr. Roman Roman, Inc

  • Optometrist
  • Arecibo, PR
National Provider Identifier
1295471183
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CLINICA VISUAL Y OPTICA DR. ROMAN ROMAN, INC
Practice address
Carr 653 KM 2.0 Sect Barranca Bo. Hato Abajo
Arecibo, PR 00612-0061
Phone
(787) 896-7041
NPI assigned
May 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Authorized official

Name
Mrs. Dymarie Burgos
Title
Adminstrative Assistant
Phone
(787) 399-3755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

Carr 653 KM 2.0 Sect Barranca Bo. Hato Abajo
Arecibo, PR 00612-0061

Mailing address

PO Box 6017
Carolina, PR 00984-6017
Phone (787) 639-9834

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1295471183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6017",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009846017",
            "telephone_number": "787-639-9834",
            "fax_number": "787-395-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 653 KM 2.0 SECT BARRANCA BO. HATO ABAJO",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006120061",
            "telephone_number": "787-896-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA VISUAL Y OPTICA DR. ROMAN ROMAN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "BURGOS",
        "authorized_official_first_name": "DYMARIE",
        "authorized_official_title_or_position": "ADMINSTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "787-399-3755",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.