Optima Vision

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

OPTIMA VISION

Practice address

C 3 KM 1 11 Bo Trujillo Bajo
Carolina, PR 00986-0895

Phone

(787) 769-6580

Fax

(787) 752-6766

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Angel L Marin, OP

Title

Owner

Phone

(787) 752-6766

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mercedes T Gurrea, O.D.

  • Optometrist
  • Fajardo, PR
  • NPI 1780704916
  Medicare reassignment NPD

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1336215789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 895",
            "address_2": "C 3 KM 1 11 BO TRUJILLO BAJO",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009860895",
            "telephone_number": "787-769-6580",
            "fax_number": "787-752-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C 3 KM 1 11 BO TRUJILLO BAJO",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009860895",
            "telephone_number": "787-769-6580",
            "fax_number": "787-752-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMA VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "MARIN",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-752-6766",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OP"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oneheart, LLC
• Crystal Angelica Oneill Arroyo, PHARMD
• Onestopprescriptionislaverde
• Optica LM LLC
• Opticentro Salinas
• Optima Vision 2 LLC
• Optimind Managed Behavioral Healthcare Organization Corporation (Optimind Clinic)
• Quetcy Oquendo-de Los Santos, M.D.
• Kiara Revilla Orellano, MS
• Organizacion de Salud Administrada-Osa, Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.