NPIMap

Organization Active NPI

Eternity Vision Center

  • Optometrist
  • Comerio, PR
National Provider Identifier
1326337452
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
661 Issued in PR
Legal business name
ETERNITY VISION CENTER
Practice address
43 Calle Georgetti
Comerio, PR 00782-2542
Phone
(787) 875-6611
Fax
(787) 875-6611
NPI assigned
Mar 29, 2011
Last updated
Mar 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Authorized official

Name
Mr. Angel D Rosario Rosado
Title
President
Phone
(787) 875-6611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 661 PR Primary

Addresses

Primary practice location

43 Calle Georgetti
Comerio, PR 00782-2542

Mailing address

43 Calle Georgetti
Comerio, PR 00782-2542
Phone (787) 875-6611

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1326337452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 CALLE GEORGETTI",
            "city": "COMERIO",
            "state": "PR",
            "postal_code": "007822542",
            "telephone_number": "787-875-6611",
            "fax_number": "787-875-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 CALLE GEORGETTI",
            "city": "COMERIO",
            "state": "PR",
            "postal_code": "007822542",
            "telephone_number": "787-875-6611",
            "fax_number": "787-875-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETERNITY VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "ROSARIO ROSADO",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-875-6611",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PR",
            "license": "661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Comerio, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.