Organization Active NPI

Vision Gallery Inc

  • Primary Care Clinic/Center
  • San Juan, PR
National Provider Identifier
1316210735
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
600 Issued in PR
Legal business name
VISION GALLERY INC
Practice address
142 Calle del Parque
Suite 1
San Juan, PR 00911-1965
Phone
(787) 725-1100
Fax
(787) 725-1200
NPI assigned
Feb 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Authorized official

Name
Dr. Anouk M Underwood, O.D.
Title
Optometrist
Phone
(787) 725-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 600 PR Primary

Addresses

Primary practice location

142 Calle del Parque
Suite 1
San Juan, PR 00911-1965

Mailing address

142 Calle del Parque
Suite 1
San Juan, PR 00911-1965
Phone (787) 725-1100

Other identifiers 1

IdentifierTypeStateIssuer
1306801550OtherPRINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1316210735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 CALLE DEL PARQUE",
            "address_2": "SUITE 1",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111965",
            "telephone_number": "787-725-1100",
            "fax_number": "787-725-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 CALLE DEL PARQUE",
            "address_2": "SUITE 1",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111965",
            "telephone_number": "787-725-1100",
            "fax_number": "787-725-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION GALLERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "ANOUK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "787-725-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PR",
            "license": "600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1306801550",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.