Individual provider Active NPI

Camille M Pizzini, OD

  • Optometrist
  • San Juan, PR
National Provider Identifier
1366634321
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
626 Issued in PR
Practice address
1900 Ave J T Pinero
Altamira Xtra Shopping Center
San Juan, PR 00921-1102
Phone
(787) 775-4098
NPI assigned
Aug 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 626 PR Primary

Addresses

Primary practice location

1900 Ave J T Pinero
Altamira Xtra Shopping Center
San Juan, PR 00921-1102

Mailing address

1900 Ave J T Pinero
Altamira Xtra Shopping Center
San Juan, PR 00921-1102
Phone (787) 775-4098

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090622000474 PR Practitioner - Optometry 2961553581 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
626PRMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Great Vision, LLC Optometrist CurrentSince Oct 6, 2023 Accepting new patients
Optik Optometry Group Optometrist PastSince Aug 25, 2018 Accepting new patients

Locations

35 Calle Juan C Borbon
Ste 67
Guaynabo, PR 00969
Phone (787) 287-0353

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1366634321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 AVE J T PINERO",
            "address_2": "ALTAMIRA XTRA SHOPPING CENTER",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009211102",
            "telephone_number": "787-775-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 AVE J T PINERO",
            "address_2": "ALTAMIRA XTRA SHOPPING CENTER",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009211102",
            "telephone_number": "787-775-4098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIZZINI",
        "first_name": "CAMILLE",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.