Gerardo Correa, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0229 Issued in PR

Practice address

Carr 3 350
Plaza Palma Real
Humacao, PR 00791-4736

Phone

(787) 850-5222

NPI assigned

Jan 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Luxottica of America Inc.

  • Eyewear Supplier
  • Ponce, PR
  • NPI 1003962853

  PR

  Medicare reassignment NPD
• Toperbee Corporation

  • Eyewear Supplier
  • Caguas, PR
  • NPI 1528041167

  Optometrist, PR

  Medicare reassignment NPD
• GC OD LLC

  • Optometrist
  • Humacao, PR
  • NPI 1023877958
  NPD Authorized official
• Luxottica of America Inc.

  • Eyewear Supplier
  • Mayaguez, PR
  • NPI 1881999688
  NPD
• Toperbee Corporation

  • Optometrist
  • Ponce, PR
  • NPI 1386216091
  NPD
• Luxottica of America Inc

  • Eyewear Supplier
  • Ponce, PR
  • NPI 1285180414
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1306997309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E ST. G14 TORREMOLINOS",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-850-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 3 350",
            "address_2": "PLAZA PALMA REAL",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007914736",
            "telephone_number": "787-850-5222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Country Club Shopping Plaza",
            "address_purpose": "LOCATION",
            "city": "Carolina",
            "state": "PR",
            "postal_code": "00983",
            "country_code": "US",
            "telephone_number": "787-769-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORREA",
        "first_name": "GERARDO",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2021-08-18",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "0229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038264500",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "humacaoeyerx@gmail.com",
            "affiliation": "N",
            "address_1": "CARR 3 350",
            "address_2": "Plaza Palma Real",
            "city": "Humacao",
            "state": "PR",
            "country_code": "US",
            "postal_code": "007914736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Corda of PR Inc
• Alexander J Cordero
• Corp Fondo Seguro del Estado-Humacao
• Corporacion Medica Oriental
• Corporacion Profesional Salud
• Luz Aida Correa
• Cossma
• Cossma, Inc.
• Cossma, Inc.
• Cossma, Inc.

• All providers in Humacao, PR
• Optometrist in Puerto Rico

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

Verify at the official NPI Registry.